Clinical effectiveness in everyday practice: Improving outcomes for all patients through a national acute coronary syndrome data collaborative

Astley, CM; Tonkin, AM; Mahar, LJ; Davidson, PM; Boyden, AN; Brieger, DB; Pradhan, M; George, M; Mattschoss, SF; Chew, DP

Clinical effectiveness in everyday practice: Improving outcomes for all patients through a national acute coronary syndrome data collaborative

Astley, CM Tonkin, AM Mahar, LJ Davidson, PM

Boyden, AN Brieger, DB Pradhan, M George, M Mattschoss, SF Chew, DP

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Publication Type:: Journal Article
Citation:: Internal Medicine Journal, 2011, 41 (2), pp. 206 - 210
Issue Date:: 2011-02-01

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Field	Value	Language
dc.contributor.author	Astley, CM	en_US
dc.contributor.author	Tonkin, AM	en_US
dc.contributor.author	Mahar, LJ	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.contributor.author	Boyden, AN	en_US
dc.contributor.author	Brieger, DB	en_US
dc.contributor.author	Pradhan, M	en_US
dc.contributor.author	George, M	en_US
dc.contributor.author	Mattschoss, SF	en_US
dc.contributor.author	Chew, DP	en_US
dc.date.issued	2011-02-01	en_US
dc.identifier.citation	Internal Medicine Journal, 2011, 41 (2), pp. 206 - 210	en_US
dc.identifier.issn	1444-0903	en_US
dc.identifier.uri	http://hdl.handle.net/10453/32495
dc.description.abstract	The management of acute coronary syndromes (ACS) has an extensive and impressive evidence-base with which to guide clinical practice. Despite this, translation to the clinical environment has proved to be challenging and incomplete and can be attributed to patient, provider and system factors. Causes of suboptimal guideline adherence relate to diverse issues, including patient complexity, barriers in knowledge translation of guideline recommendations and a limited capacity within health services. Addressing these factors may enable more effective guideline implementation. In Australia, the infrastructure for clinical data management is fragmented, uncoordinated and often administratively driven, compromising access to important information, which might improve clinical effectiveness. An integrated approach is required to improve clinical effectiveness in ACS care in Australia. Greater access to information both to assist in clinical decision-making and monitoring outcomes may help direct the focus towards understudied populations and improve performance and clinically relevant outcomes. A peer-led initiative based on common datasets, providing rapid feedback, while developing and disseminating a 'toolbox' of proven and sustainable interventions, could improve clinical effectiveness in the Australian management of ACS and provides a rationale for a national ACS registry. © 2011 The Authors. Internal Medicine Journal © 2011 Royal Australasian College of Physicians.	en_US
dc.relation.ispartof	Internal Medicine Journal	en_US
dc.relation.isbasedon	10.1111/j.1445-5994.2010.02415.x	en_US
dc.subject.classification	General & Internal Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Treatment Outcome	en_US
dc.subject.mesh	Cooperative Behavior	en_US
dc.subject.mesh	Evidence-Based Medicine	en_US
dc.subject.mesh	Databases, Factual	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Acute Coronary Syndrome	en_US
dc.subject.mesh	General Practice	en_US
dc.title	Clinical effectiveness in everyday practice: Improving outcomes for all patients through a national acute coronary syndrome data collaborative	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	41	en_US
utslib.for	1102 Cardiorespiratory Medicine and Haematology	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	41	en_US

Abstract:

The management of acute coronary syndromes (ACS) has an extensive and impressive evidence-base with which to guide clinical practice. Despite this, translation to the clinical environment has proved to be challenging and incomplete and can be attributed to patient, provider and system factors. Causes of suboptimal guideline adherence relate to diverse issues, including patient complexity, barriers in knowledge translation of guideline recommendations and a limited capacity within health services. Addressing these factors may enable more effective guideline implementation. In Australia, the infrastructure for clinical data management is fragmented, uncoordinated and often administratively driven, compromising access to important information, which might improve clinical effectiveness. An integrated approach is required to improve clinical effectiveness in ACS care in Australia. Greater access to information both to assist in clinical decision-making and monitoring outcomes may help direct the focus towards understudied populations and improve performance and clinically relevant outcomes. A peer-led initiative based on common datasets, providing rapid feedback, while developing and disseminating a 'toolbox' of proven and sustainable interventions, could improve clinical effectiveness in the Australian management of ACS and provides a rationale for a national ACS registry. © 2011 The Authors. Internal Medicine Journal © 2011 Royal Australasian College of Physicians.

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http://hdl.handle.net/10453/32495