Effect of a Quality Improvement Intervention on Clinical Outcomes in Patients in India With Acute Myocardial Infarction: The ACS QUIK Randomized Clinical Trial.

ABSTRACT:

Importance

Wide heterogeneity exists in acute myocardial infarction treatment and outcomes in India.

Objective

To evaluate the effect of a locally adapted quality improvement tool kit on clinical outcomes and process measures in Kerala, a southern Indian state.

Design, setting, and participants

Cluster randomized, stepped-wedge clinical trial conducted between November 10, 2014, and November 9, 2016, in 63 hospitals in Kerala, India, with a last date of follow-up of December 31, 2016. During 5 predefined steps over the study period, hospitals were randomly selected to move in a 1-way crossover from the control group to the intervention group. Consecutively presenting patients with acute myocardial infarction were offered participation.

Interventions

Hospitals p

SUBMITTER: Huffman MD 

PROVIDER: S-EPMC5838631 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature