Table 21-6.
Additional ACTION-GWTG Quality-of-Care Metrics for ACS Care, 2011
Quality Metrics | Overall | STEMI | NSTEMI |
---|---|---|---|
ECG within 10 min of arrival | 62.4 | 74.2 | 57.1 |
Aspirin within 24 h of arrival | 97.6 | 98.4 | 97.1 |
Any anticoagulant use* | 93.2 | 95.4 | 91.7 |
Dosing error | |||
UFH dose | 48.6 | 47.5 | 49.4 |
Enoxaparin dose | 11.8 | 10.6 | 11.9 |
Glycoprotein IIb/IIIa inhibitor dose | 7.2 | 7.4 | 7.0 |
Aspirin at discharge | 98.3 | 98.9 | 97.9 |
Prescribed statins on discharge | 98.4 | 99 | 98.1 |
Adult smoking cessation advice/counseling | 98.4 | 98.7 | 98.1 |
Cardiac rehabilitation referral | 76.5 | 83.2 | 72 |
In-hospital mortality† (95% CI) | 4.6 (4.4–4.7) | 5.9 (5.7–6.2) | 3.7(3.5–3.8) |
Values are percentages.
ACTION-GWTG indicates Acute Coronary Treatment and Intervention Outcomes Registry–Get With The Guidelines; ACS, acute coronary syndrome; STEMI, ST-segment elevation myocardial infarction; NSTEMI, non–ST-segment elevation myocardial infarction; ECG, electrocardiogram; UFH, unfractionated heparin; and CI, confidence interval.
Includes UFH, low-molecular-weight heparin, or direct thrombin inhibitor use.
Excludes transfer-out patients.