title: Quality indicators for acute myocardial infarction: A position paper of the Acute Cardiovascular Care Association.
abstract: Evaluation of quality of care is an integral part of modern healthcare, and has become an indispensable tool for health authorities, the public, the press and patients. However, measuring quality of care is difficult, because it is a multifactorial and multidimensional concept that cannot be estimated solely on the basis of patients' clinical outcomes. Thus, measuring the process of care through quality indicators (QIs) has become a widely used practice in this context. Other professional societies have published QIs for the evaluation of quality of care in the context of acute myocardial infarction (AMI), but no such indicators exist in Europe. In this context, the European Society of Cardiology (ESC) Acute Cardiovascular Care Association (ACCA) has reflected on the measurement of quality of care in the context of AMI (ST segment elevation myocardial infarction (STEMI) and non-ST segment elevation myocardial infarction (NSTEMI)) and created a set of QIs, with a view to developing programmes to improve quality of care for the management of AMI across Europe. We present here the list of QIs defined by the ACCA, with explanations of the methodology used, scientific justification and reasons for the choice for each measure.
authors: 1 University Hospital of Besancon, EA3920 University of Franche-Comté, Besançon, France.
authors: Francois
authors: F
authors: Schiele
authors: 2 Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds; York Teaching Hospital NHS Foundation Trust, York, UK.
authors: Chris P
authors: CP
authors: Gale
authors: 3 Unité de soins intensifs cardiologiques, Hôpital Cardiologique Louis-Pradel, Bron, France.
authors: Eric
authors: E
authors: Bonnefoy
authors: 4 Haute Autorité de Santé, Saint Denis La Plaine, France.
authors: Frederic
authors: F
authors: Capuano
authors: 5 Cardiology Department, University Hospital Antwerp, Edegem, Belgium.
authors: Marc J
authors: MJ
authors: Claeys
authors: 6 Assistance Publique-Hôpitaux de Paris (AP-HP); Hôpital Européen Georges Pompidou (HEGP), Department of Cardiology, Paris, France; Université Paris-Descartes, Paris, France.
authors: Nicolas
authors: N
authors: Danchin
authors: 7 Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
authors: Keith Aa
authors: KA
authors: Fox
authors: 8 3rd Medical Department, Cardiology and Intensive Care Medicine, Wilhelminenhospital, Vienna, Austria.
authors: Kurt
authors: K
authors: Huber
authors: 9 Department of Cardiology, Rabin Medical Center, Petah Tikva, Israel.
authors: Zaza
authors: Z
authors: Iakobishvili
authors: 10 Humanitas Research Hospital, Rozzano (Milan), Italy.
authors: Maddalena
authors: M
authors: Lettino
authors: 11 Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
authors: Tom
authors: T
authors: Quinn
authors: 12 Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, Basel.
authors: Maria
authors: M
authors: Rubini Gimenez
authors: 13 Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
authors: Hans E
authors: HE
authors: Bøtker
authors: 14 Department of Cardiology and Department of Medical and Health Sciences, Linköping University, Sweden.
authors: Eva
authors: E
authors: Swahn
authors: 15 National Institute for Health Research Biomedical Research Unit, Barts Heart Centre, London, UK.
authors: Adam
authors: A
authors: Timmis
authors: 16 Ospedale San Filippo Neri, Rome, Italy.
authors: Marco
authors: M
authors: Tubaro
authors: 5 Cardiology Department, University Hospital Antwerp, Edegem, Belgium.
authors: Christiaan
authors: C
authors: Vrints
authors: 17 East Sussex Healthcare, Conquest Hospital, Hastings, UK.
authors: David
authors: D
authors: Walker
authors: 18 Department of Cardiology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
authors: Doron
authors: D
authors: Zahger
authors: 19 Klinikum Ludwigshafen and Institut für Herzinfarktforschung Ludwigshafen, Ludwigshafen, Germany.
authors: Uwe
authors: U
authors: Zeymer
authors: 20 Centro Nacional de InvestigacionesCardiovasculares (CNIC), Cardiology Department, Hospital Universitario 12 de Octubre, and Universidad Complutense de Madrid, Madrid, Spain.
authors: Hector
authors: H
authors: Bueno
mesh_terms: D019468:Disease Management; D005060:Europe; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000628:therapy*; D019984:Quality Indicators, Health Care / Q000458:organization & administration*; D012307:Risk Factors
keywords: Quality of care; acute cardiovascular care; anti-thrombotic treatment; centre organisation; composite indicator; discharge treatment; myocardial infarction; patient satisfaction; quality indicators; reperfusion; risk assessment