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The Development and Feasibility Assessment of Canadian Quality Indicators for Atrial Fibrillation.
- Source :
-
The Canadian journal of cardiology [Can J Cardiol] 2016 Dec; Vol. 32 (12), pp. 1566-1569. Date of Electronic Publication: 2016 Feb 27. - Publication Year :
- 2016
-
Abstract
- In 2010, the Canadian Cardiovascular Society embarked on an initiative to develop pan-Canadian quality indicators (QIs) and standardized data definitions with the ultimate goal of monitoring, comparing, and contrasting national cardiovascular care and its outcomes. One of the first working groups to be established was tasked with identifying and then defining a set of QIs for atrial fibrillation/flutter (AF/AFL). The Canadian Cardiovascular Society "Best Practices for Developing Cardiovascular Quality Indicators" methodology was used to develop an initial catalogue of 25 QIs intended to measure critical issues around access, process, and outcomes relating to AF/AFL management. This list was subsequently pared down to 5 QIs felt to have the greatest relative importance for quality assurance and measurability so as to facilitate early adoption. Three of these QIs were finally selected to assess the feasibility of their measurement using existing administrative datasets. These were the number of patients with a diagnosis of nonvalvular AF/AFL at high risk of stroke (75 years or older, or CHADS <subscript>2</subscript> ≥ 2) receiving an oral anticoagulant, and the rates of stroke and major haemorrhage in patients with nonvalvular AF/AFL according to CHA <subscript>2</subscript> DS <subscript>2</subscript> -VASc score and anticoagulant use. Despite their clear importance in assessing AF/AFL care, none of these 3 QIs were found to be readily measurable across Canada using existing national datasets. Investment in new medical data infrastructure is required to facilitate regular monitoring of QIs to improve cardiovascular care.<br /> (Copyright © 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Aged
Anticoagulants adverse effects
Anticoagulants therapeutic use
Atrial Fibrillation complications
Atrial Fibrillation diagnosis
Atrial Fibrillation therapy
Atrial Flutter complications
Atrial Flutter diagnosis
Atrial Flutter therapy
Canada epidemiology
Databases, Factual standards
Female
Hemorrhage chemically induced
Hemorrhage prevention & control
Humans
Male
Outcome and Process Assessment, Health Care methods
Outcome and Process Assessment, Health Care organization & administration
Quality Improvement
Risk Assessment methods
Stroke etiology
Stroke prevention & control
Atrial Fibrillation epidemiology
Atrial Flutter epidemiology
Hemorrhage epidemiology
Patient Care Management organization & administration
Patient Care Management standards
Quality Indicators, Health Care standards
Quality Indicators, Health Care statistics & numerical data
Stroke epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1916-7075
- Volume :
- 32
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- The Canadian journal of cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 27297003
- Full Text :
- https://doi.org/10.1016/j.cjca.2016.02.059