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A call to ACTION (acute coronary treatment and intervention outcomes network): a national effort to promote timely clinical feedback and support continuous quality improvement for acute myocardial infarction.
Circ Cardiovasc Qual Outcomes. 2009 Sep; 2(5):491-9.CC

Abstract

BACKGROUND

There is a recognized need for a national unified registry to track presenting features, care, and outcomes for patients with acute myocardial infarction. To address this need, the American Heart Association's Get With the Guidelines-Coronary Artery Disease program joined the Acute Coronary Treatment and Intervention Outcomes Network (ACTION) Registry to create the National Cardiovascular Data Registry ACTION-Get With the Guidelines (AR-G) in June of 2008. This article outlines the objectives, operational structure, patient population, data elements, data collection methodology, and reporting components of this landmark registry.

METHODS AND RESULTS

The AR-G was launched in January of 2007. The registry is led by a team of volunteers from the American Heart Association and the American College of Cardiology, and its data coordinating center resides at the Duke Clinical Research Institute. As of December 2008, 344 US hospitals already contributed detailed clinical information on 103 890 myocardial infarction patients (inclusive of 39% ST-segment myocardial infarction and 61% non-ST-segment myocardial infarction patients). Overall data quality has been excellent, with <5% clinical fields missing. Site quality improvement efforts are supported via detailed quarterly feedback reports, routine web educational programs, and sharing of "best practice" clinical support tools.

CONCLUSIONS

The AR-G represents a unified, national, acute myocardial infarction registry and supports a robust quality improvement effort designed to encourage evidence-based acute myocardial infarction care and, ultimately, improve patient outcomes.

Authors+Show Affiliations

Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27705, USA. peter016@mc.duke.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20031882

Citation

Peterson, Eric D., et al. "A Call to ACTION (acute Coronary Treatment and Intervention Outcomes Network): a National Effort to Promote Timely Clinical Feedback and Support Continuous Quality Improvement for Acute Myocardial Infarction." Circulation. Cardiovascular Quality and Outcomes, vol. 2, no. 5, 2009, pp. 491-9.
Peterson ED, Roe MT, Rumsfeld JS, et al. A call to ACTION (acute coronary treatment and intervention outcomes network): a national effort to promote timely clinical feedback and support continuous quality improvement for acute myocardial infarction. Circ Cardiovasc Qual Outcomes. 2009;2(5):491-9.
Peterson, E. D., Roe, M. T., Rumsfeld, J. S., Shaw, R. E., Brindis, R. G., Fonarow, G. C., & Cannon, C. P. (2009). A call to ACTION (acute coronary treatment and intervention outcomes network): a national effort to promote timely clinical feedback and support continuous quality improvement for acute myocardial infarction. Circulation. Cardiovascular Quality and Outcomes, 2(5), 491-9. https://doi.org/10.1161/CIRCOUTCOMES.108.847145
Peterson ED, et al. A Call to ACTION (acute Coronary Treatment and Intervention Outcomes Network): a National Effort to Promote Timely Clinical Feedback and Support Continuous Quality Improvement for Acute Myocardial Infarction. Circ Cardiovasc Qual Outcomes. 2009;2(5):491-9. PubMed PMID: 20031882.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A call to ACTION (acute coronary treatment and intervention outcomes network): a national effort to promote timely clinical feedback and support continuous quality improvement for acute myocardial infarction. AU - Peterson,Eric D, AU - Roe,Matthew T, AU - Rumsfeld,John S, AU - Shaw,Richard E, AU - Brindis,Ralph G, AU - Fonarow,Gregg C, AU - Cannon,Christopher P, PY - 2009/12/25/entrez PY - 2009/12/25/pubmed PY - 2010/3/18/medline SP - 491 EP - 9 JF - Circulation. Cardiovascular quality and outcomes JO - Circ Cardiovasc Qual Outcomes VL - 2 IS - 5 N2 - BACKGROUND: There is a recognized need for a national unified registry to track presenting features, care, and outcomes for patients with acute myocardial infarction. To address this need, the American Heart Association's Get With the Guidelines-Coronary Artery Disease program joined the Acute Coronary Treatment and Intervention Outcomes Network (ACTION) Registry to create the National Cardiovascular Data Registry ACTION-Get With the Guidelines (AR-G) in June of 2008. This article outlines the objectives, operational structure, patient population, data elements, data collection methodology, and reporting components of this landmark registry. METHODS AND RESULTS: The AR-G was launched in January of 2007. The registry is led by a team of volunteers from the American Heart Association and the American College of Cardiology, and its data coordinating center resides at the Duke Clinical Research Institute. As of December 2008, 344 US hospitals already contributed detailed clinical information on 103 890 myocardial infarction patients (inclusive of 39% ST-segment myocardial infarction and 61% non-ST-segment myocardial infarction patients). Overall data quality has been excellent, with <5% clinical fields missing. Site quality improvement efforts are supported via detailed quarterly feedback reports, routine web educational programs, and sharing of "best practice" clinical support tools. CONCLUSIONS: The AR-G represents a unified, national, acute myocardial infarction registry and supports a robust quality improvement effort designed to encourage evidence-based acute myocardial infarction care and, ultimately, improve patient outcomes. SN - 1941-7705 UR - https://www.unboundmedicine.com/medline/citation/20031882/A_call_to_ACTION__acute_coronary_treatment_and_intervention_outcomes_network_:_a_national_effort_to_promote_timely_clinical_feedback_and_support_continuous_quality_improvement_for_acute_myocardial_infarction_ L2 - http://www.ahajournals.org/doi/full/10.1161/CIRCOUTCOMES.108.847145?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -