Featured Research

from universities, journals, and other organizations

Quality Improvement Program Increases Hospitals' Adherence To Evidenced-based Care

Date:
October 27, 2009
Source:
American Heart Association
Summary:
The "Get With The Guidelines" quality improvement program significantly improves adherence to evidence-based care for hospitalized patients with coronary artery disease. This improvement in adherence to quality measures also diminishes gender- and age-related disparities in care.

Participation in the American Heart Association's Get With The Guidelines® quality improvement program significantly improves hospitals' adherence to evidence-based therapies and reduces gender- and age-related disparities in the care of coronary artery disease patients, according to research reported in Circulation: Cardiovascular Quality & Outcomes, a journal of the American Heart Association.

"It has been shown that, in many healthcare settings, evidence-based therapies for coronary artery disease are applied less to women than to men and less to elderly patients than to younger patients," said William R. Lewis, M.D., lead author of the study and chief of clinical cardiology at MetroHealth Medical Center and the Heart and Vascular Center in Cleveland, Ohio.

"We tested the hypothesis that participation in a quality improvement program, such as Get With The Guidelines, would improve care for all patients, therefore narrowing these known treatment gaps over time."

Lewis and colleagues analyzed the treatment of 237,225 coronary artery disease patients in 472 hospitals before and after the facilities implemented the Get With The Guidelines quality improvement initiative.

From 2002 to 2007 (the time of the study) the average adherence to quality measures in the program increased from 87.1 percent to 97.7 percent for patients younger than 75 years and from 83 percent to 95.1 percent in those 75 years and older, researchers said.

They found that gender data showed the average adherence to the guidelines increased from 86.5 percent to 97.4 percent in men and 84.8 percent to 96.2 percent in women.

"Specifically, we found that the gender gaps in care were more related to women younger than 75 years," said Lewis, who is also associate professor of medicine at Case Western Reserve University in Cleveland. "Elderly women were treated similarly to men. That trend continued over the study period and the gap narrowed to the point that it was clinically insignificant at the end of the study."

The study's results help to confirm that evidence-based quality improvement processes work, said Clyde W. Yancy, M.D., president of the American Heart Association and medical director at Baylor Heart and Vascular Institute in Dallas, Texas.

"At the start of the study, before Get With The Guidelines was in place, there was clear evidence of differences, based on gender and age, in the adequacy and quality of care for patients that presented with acute coronary syndrome," Yancy said. "The application of the quality improvement process improved outcomes for all patients -- young and elderly; male and female."

While this study did not measure outcomes, Yancy said it is reasonable to conclude that the sometimes dramatic improvements in guideline compliance in the care of coronary artery disease patients could lead to improved outcomes, including saved lives.

A limitation to the study is that it showed only what happens within the Get With The Guidelines program and was not randomized to compare hospitals in that specific initiative to hospitals that were not, Lewis said.

Coauthors of the study are A. Gray Ellrodt, M.D.; Eric Peterson, M.D., M.P.H; Adrian F. Hernandez, M.D.; Kenneth A. LaBresh, M.D.; Christopher P. Cannon, M.D.; Wenqin Pan, Ph.D.; and Gregg C. Fonarow, M.D.

 American Heart Association funded the study.


Story Source:

The above story is based on materials provided by American Heart Association. Note: Materials may be edited for content and length.


Cite This Page:

American Heart Association. "Quality Improvement Program Increases Hospitals' Adherence To Evidenced-based Care." ScienceDaily. ScienceDaily, 27 October 2009. <www.sciencedaily.com/releases/2009/10/091027161534.htm>.
American Heart Association. (2009, October 27). Quality Improvement Program Increases Hospitals' Adherence To Evidenced-based Care. ScienceDaily. Retrieved September 17, 2014 from www.sciencedaily.com/releases/2009/10/091027161534.htm
American Heart Association. "Quality Improvement Program Increases Hospitals' Adherence To Evidenced-based Care." ScienceDaily. www.sciencedaily.com/releases/2009/10/091027161534.htm (accessed September 17, 2014).

Share This



More Health & Medicine News

Wednesday, September 17, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

President To Send 3,000 Military Personnel To Fight Ebola

President To Send 3,000 Military Personnel To Fight Ebola

Newsy (Sep. 16, 2014) — President Obama is expected to send 3,000 troops to West Africa as part of the effort to contain Ebola's spread. Video provided by Newsy
Powered by NewsLook.com
Man Floats for 31 Hours in Gulf Waters

Man Floats for 31 Hours in Gulf Waters

AP (Sep. 16, 2014) — A Texas man is lucky to be alive after he and three others floated for more than a day in the Gulf of Mexico when their boat sank during a fishing trip. (Sept. 16) Video provided by AP
Powered by NewsLook.com
Ivorians Abandon Monkey Pets in Fear Over Ebola Virus

Ivorians Abandon Monkey Pets in Fear Over Ebola Virus

AFP (Sep. 16, 2014) — Since the arrival of Ebola in Ivory Coast, Ivorians have been abandoning their pets, particularly monkeys, in the fear that they may transmit the virus. Duration: 00:47 Video provided by AFP
Powered by NewsLook.com
Study Links Male-Pattern Baldness To Prostate Cancer

Study Links Male-Pattern Baldness To Prostate Cancer

Newsy (Sep. 16, 2014) — New findings suggest men with a certain type of baldness at age 45 are 39 percent more likely to develop aggressive prostate cancer. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

    Environment News

      Technology News



      Save/Print:
      Share:  

      Free Subscriptions


      Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

      Get Social & Mobile


      Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

      Have Feedback?


      Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
      Mobile iPhone Android Web
      Follow Facebook Twitter Google+
      Subscribe RSS Feeds Email Newsletters
      Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins