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Quality Improvement Initiatives
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Quality Improvement Initiatives
•National Service Framework for Coronary Heart Disease-UK
•Cooperative Cardiovascular Project (CCP)-USA
•National Registry of Myocardial Infarction (NRMI)-US
•Berlin Myocardial Infarction Registry-Germany
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Quality Improvement Initiatives
•Global Registry of Acute Coronary Events (GRACE)
•Improving Cardiovascular Outcomes in Nova Scotia (ICONS)-Canada
•Alberta Provincial Project for Outcome Assessment in Coronary heart Disease
database (APPROACH)-Canada•Enhanced Feedback for Effective Cardiac
Treatment (EFFECT)-Canada
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0
20
30
40
TeachingHospital
CommunityHospital
SmallHospital
Tim
e (m
inut
es)
Door-to-Needle time for thrombolytic therapy
Benchmark 30 min
38 min 37 min 40 min
Ontario average = 37 min 12/44 hospitals met benchmark
EFFECT STUDY
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Type of physician caring for heart attack patients
0
20
40
60
80
100
Perc
ent
Cardiologist General Internist
Family Physician
32%
34% 30%
EFFECT STUDY
4% are Other
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Door-to-Needle Time
¨Was 11 minutes less when Emergency physician made decision to administer thrombolytic therapy
¨Was 10 minutes less when thrombolytic therapy was administered in Emergency Department rather than in
CCU/ICU