@article{scott_quality_2002,
	title = {Quality of care of patients hospitalized with acute coronary syndromes},
	volume = {32},
	issn = {1444-0903},
	abstract = {BACKGROUND: Measurement and improvement of quality of care is a priority issue in health care. Patients hospitalized with acute coronary syndromes (ACS) constitute a high-risk population whose care, if shown to be suboptimal on the basis of available research evidence, may benefit from quality improvement interventions.
AIM: To evaluate the quality of in-hospital care for patients with ACS, using explicit quality indicators.
METHODS: Retrospective case note review was undertaken of 397 patients admitted to three teaching hospitals in Brisbane, Queensland, Australia, between 1 October 2000 and 17 April 2001. The main outcome measures were 12 process-of-care quality indicators, calculated as either: (i) the proportion of all patients who received specific interventions or (ii) the proportion of ideal patients who received specific interventions (i.e. patients with clear indications and lacking contraindications).
RESULTS: Quality indicators with values above 80\% included: (i) patient selection for thrombolysis (100\%) and discharge prescription of beta-blockers (84\%), (ii) antiplatelet agents (94\%) and (iii) lipid-lowering agents (82\%). Indicators with values between 50\% and 80\% included: (i) timely performance of electrocardiogram (ECG) on admission (61\%), (ii) early coronary angiography (75\%), (iii) measurement of serum lipids (71\%) and (iv) discharge prescription of angiotensin-converting-enzyme (ACE) inhibitors (73\%). Indicators with values {\textless}50\% included: (i) timely administration of thrombolysis (35\%), (ii) non-invasive risk assessment (23\%) and (ii) formal in-hospital, and post-hospital cardiac rehabilitation (47\% and 7\%, respectively).
CONCLUSION: There were delays in performing ECG and administering thrombolysis to patients who presented to emergency departments with ACS. Improvement is warranted in use of non-invasive procedures for identifying high-risk patients who may benefit from coronary revascularization as well as use of serum lipid measurements, ACE inhibitors and cardiac rehabilitation.},
	language = {eng},
	number = {11},
	journal = {Internal Medicine Journal},
	author = {Scott, I. A. and Denaro, C. P. and Flores, J. L. and Bennett, C. J. and Hickey, A. C. and Mudge, A. M.},
	month = nov,
	year = {2002},
	pmid = {12412932},
	keywords = {Aged, Angina, Unstable, Cardiology Service, Hospital, Female, Hospitalization, Hospitals, Teaching, Humans, Male, Medical Audit, Myocardial Infarction, Practice Guidelines as Topic, Quality Indicators, Health Care, Quality of Health Care, Queensland, Syndrome, Thrombolytic Therapy},
	pages = {502--511}
}

{"_id":"r7vJMvb3WrtLMYqxe","bibbaseid":"scott-denaro-flores-bennett-hickey-mudge-qualityofcareofpatientshospitalizedwithacutecoronarysyndromes-2002","downloads":0,"creationDate":"2018-12-05T13:23:19.801Z","title":"Quality of care of patients hospitalized with acute coronary syndromes","author_short":["Scott, I. A.","Denaro, C. P.","Flores, J. L.","Bennett, C. J.","Hickey, A. C.","Mudge, A. M."],"year":2002,"bibtype":"article","biburl":"https://bibbase.org/zotero/emmanuel.chazard","bibdata":{"bibtype":"article","type":"article","title":"Quality of care of patients hospitalized with acute coronary syndromes","volume":"32","issn":"1444-0903","abstract":"BACKGROUND: Measurement and improvement of quality of care is a priority issue in health care. Patients hospitalized with acute coronary syndromes (ACS) constitute a high-risk population whose care, if shown to be suboptimal on the basis of available research evidence, may benefit from quality improvement interventions. AIM: To evaluate the quality of in-hospital care for patients with ACS, using explicit quality indicators. METHODS: Retrospective case note review was undertaken of 397 patients admitted to three teaching hospitals in Brisbane, Queensland, Australia, between 1 October 2000 and 17 April 2001. The main outcome measures were 12 process-of-care quality indicators, calculated as either: (i) the proportion of all patients who received specific interventions or (ii) the proportion of ideal patients who received specific interventions (i.e. patients with clear indications and lacking contraindications). RESULTS: Quality indicators with values above 80% included: (i) patient selection for thrombolysis (100%) and discharge prescription of beta-blockers (84%), (ii) antiplatelet agents (94%) and (iii) lipid-lowering agents (82%). Indicators with values between 50% and 80% included: (i) timely performance of electrocardiogram (ECG) on admission (61%), (ii) early coronary angiography (75%), (iii) measurement of serum lipids (71%) and (iv) discharge prescription of angiotensin-converting-enzyme (ACE) inhibitors (73%). Indicators with values \\textless50% included: (i) timely administration of thrombolysis (35%), (ii) non-invasive risk assessment (23%) and (ii) formal in-hospital, and post-hospital cardiac rehabilitation (47% and 7%, respectively). CONCLUSION: There were delays in performing ECG and administering thrombolysis to patients who presented to emergency departments with ACS. Improvement is warranted in use of non-invasive procedures for identifying high-risk patients who may benefit from coronary revascularization as well as use of serum lipid measurements, ACE inhibitors and cardiac rehabilitation.","language":"eng","number":"11","journal":"Internal Medicine Journal","author":[{"propositions":[],"lastnames":["Scott"],"firstnames":["I.","A."],"suffixes":[]},{"propositions":[],"lastnames":["Denaro"],"firstnames":["C.","P."],"suffixes":[]},{"propositions":[],"lastnames":["Flores"],"firstnames":["J.","L."],"suffixes":[]},{"propositions":[],"lastnames":["Bennett"],"firstnames":["C.","J."],"suffixes":[]},{"propositions":[],"lastnames":["Hickey"],"firstnames":["A.","C."],"suffixes":[]},{"propositions":[],"lastnames":["Mudge"],"firstnames":["A.","M."],"suffixes":[]}],"month":"November","year":"2002","pmid":"12412932","keywords":"Aged, Angina, Unstable, Cardiology Service, Hospital, Female, Hospitalization, Hospitals, Teaching, Humans, Male, Medical Audit, Myocardial Infarction, Practice Guidelines as Topic, Quality Indicators, Health Care, Quality of Health Care, Queensland, Syndrome, Thrombolytic Therapy","pages":"502–511","bibtex":"@article{scott_quality_2002,\n\ttitle = {Quality of care of patients hospitalized with acute coronary syndromes},\n\tvolume = {32},\n\tissn = {1444-0903},\n\tabstract = {BACKGROUND: Measurement and improvement of quality of care is a priority issue in health care. Patients hospitalized with acute coronary syndromes (ACS) constitute a high-risk population whose care, if shown to be suboptimal on the basis of available research evidence, may benefit from quality improvement interventions.\nAIM: To evaluate the quality of in-hospital care for patients with ACS, using explicit quality indicators.\nMETHODS: Retrospective case note review was undertaken of 397 patients admitted to three teaching hospitals in Brisbane, Queensland, Australia, between 1 October 2000 and 17 April 2001. The main outcome measures were 12 process-of-care quality indicators, calculated as either: (i) the proportion of all patients who received specific interventions or (ii) the proportion of ideal patients who received specific interventions (i.e. patients with clear indications and lacking contraindications).\nRESULTS: Quality indicators with values above 80\\% included: (i) patient selection for thrombolysis (100\\%) and discharge prescription of beta-blockers (84\\%), (ii) antiplatelet agents (94\\%) and (iii) lipid-lowering agents (82\\%). Indicators with values between 50\\% and 80\\% included: (i) timely performance of electrocardiogram (ECG) on admission (61\\%), (ii) early coronary angiography (75\\%), (iii) measurement of serum lipids (71\\%) and (iv) discharge prescription of angiotensin-converting-enzyme (ACE) inhibitors (73\\%). Indicators with values {\\textless}50\\% included: (i) timely administration of thrombolysis (35\\%), (ii) non-invasive risk assessment (23\\%) and (ii) formal in-hospital, and post-hospital cardiac rehabilitation (47\\% and 7\\%, respectively).\nCONCLUSION: There were delays in performing ECG and administering thrombolysis to patients who presented to emergency departments with ACS. Improvement is warranted in use of non-invasive procedures for identifying high-risk patients who may benefit from coronary revascularization as well as use of serum lipid measurements, ACE inhibitors and cardiac rehabilitation.},\n\tlanguage = {eng},\n\tnumber = {11},\n\tjournal = {Internal Medicine Journal},\n\tauthor = {Scott, I. A. and Denaro, C. P. and Flores, J. L. and Bennett, C. J. and Hickey, A. C. and Mudge, A. M.},\n\tmonth = nov,\n\tyear = {2002},\n\tpmid = {12412932},\n\tkeywords = {Aged, Angina, Unstable, Cardiology Service, Hospital, Female, Hospitalization, Hospitals, Teaching, Humans, Male, Medical Audit, Myocardial Infarction, Practice Guidelines as Topic, Quality Indicators, Health Care, Quality of Health Care, Queensland, Syndrome, Thrombolytic Therapy},\n\tpages = {502--511}\n}\n\n","author_short":["Scott, I. A.","Denaro, C. P.","Flores, J. L.","Bennett, C. J.","Hickey, A. C.","Mudge, A. 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