Table 20-6.
Additional ACTION-GWTG Quality-of-Care Metrics for ACS Care, 2009
| Quality Metrics | Overall | STEMI | NSTEMI |
|---|---|---|---|
| ECG within 10 min of arrival | 59.1 | 70.4 | 53.7 |
| Aspirin within 24 h of arrival | 94.4 | 96.3 | 93.2 |
| Anticoagulant within 24 h of arrival for NSTEMI | 87.9 | NA | 87.9 |
| Excessive initial UFH dose | 60.2 | 61.7 | 58.7 |
| Excessive initial enoxaparin dose | 12.0 | 11.5 | 12.1 |
| Excessive GP IIb/IIIa dose | 8.5 | 8.6 | 8.4 |
| ADP receptor within 24 h of arrival for STEMI | 92.9 | 92.9 | NA |
| ADP receptor on discharge for revascularized AMI population | 91.5 | 95.2 | 87.8 |
| ADP receptor on discharge for medically treated AMI population | 59.8 | 65.0 | 59.1 |
| Aldosterone-blocking agents on discharge | 6.0 | 6.3 | 5.8 |
| Documentation of LDL-C level in hospital record | 82.9 | 84.4 | 81.5 |
ACTION indicates Acute Coronary Treatment and Intervention Outcomes Network; GWTG, Get With The Guidelines; ACS, acute coronary syndrome; STEMI, ST-elevation myocardial infarction; NSTEMI, non–ST-elevation myocardial infarction; ECG, electrocardiogram; NA, not applicable; UFH, unfractionated heparin; GP, glycoprotein; ADP, adenosine triphosphate; AMI, acute myocardial infarction; LDL-C, low-density lipoprotein cholesterol.