Secondary Prevention and CABG: A Society-Led CQI RCT

二级预防和 CABG：社会主导的 CQI 随机对照试验

• 批准号: 6616514
• 负责人: T B FERGUSON
• 金额: $ 50.61万
• 依托单位: SOCIETY OF THORACIC SURGEONS
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-01 至 2006-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6616514
• 关键词: Internet; cardiovascular disorder education; cardiovascular disorder prevention; clinical research; computer assisted instruction; coronary bypass; educational resource design /development; health care quality; heart surgery; human data; therapy compliance

DESCRIPTION (provided by applicant): The overall purpose of this three-part Competitive Renewal Proposal is to determine whether established measures for secondary prevention of cardiovascular disease can be incorporated into the clinical practice of coronary artery bypass graft surgery (CABG). This proposal will build upon the operational infrastructure for CQI in CABG developed by the Society of Thoracic Surgeons, its National Cardiac Database and its partnership with the Duke Clinical Research Institute, during the first award interval. The Specific Aims of this first award have essentially been achieved, and this Medical Specialty Society-based CQI platform has been documented to positively influence CQI in CABG on a national level. Using a RCT design, we will first determine whether our initial CQI efforts in surgery are sustainable and translate into durable changes in national care practices, second, assess whether this surgical CQ1 platform can be extended to address secondary prevention, in order to impact on the long-term hazard phase of CABG, and third develop and disseminate a Web-based information tool for promoting long-term patient compliance with secondary prevention. The Specific Aims of this renewal are: 1. To determine whether ongoing QI intervention and performance feedback is necessary to sustain site improvements in targeted care processes, 2. To evaluate whether surgical CQI activities at sites can be extended to secondary prevention, 3. Conduct a demonstration project that uses an innovative web-based patient education tool for promoting long-term patient compliance following CABG and provide pilot data. In sum, this Competitive Renewal intends to take a unique, successful professional society-led CQI platform to the next level, and by doing so continue to set a standard for other areas of medicine.

描述（由申请人提供）：这三部分竞争性更新提案的总体目的是确定是否可以将二次预防心血管疾病的措施纳入冠状动脉旁路移植手术（CABG）的临床实践中。该建议将基于由胸外科医生协会，其国家心脏数据库及其与杜克临床研究所的合作伙伴关系在CABG中为CQI的运营基础设施建立在CQI的基础上。基本上已经实现了第一个奖项的具体目标，并且该基于医学专业的CQI平台已被记录在国家一级对CQI积极影响CQI。使用RCT设计，我们将首先确定我们在手术中的最初CQI努力是否可持续，并转化为国家护理实践的持久变化，其次，评估该手术CQ1平台是否可以扩展以解决次要预防，以影响CABG的长期危害阶段，并为CABG的长期危害阶段，第三次发展并促进基于网络的信息，以促进长期患者的依从性，以促进长期的患者进行依从性。这种续签的具体目的是： 1。确定持续的Qi干预和绩效反馈是否需要维持目标护理过程的现场改进，请 2。评估是否可以将站点的手术CQI活动扩展到二级预防， 3.进行一个示范项目，该项目使用创新的基于Web的患者教育工具来促进CABG之后的长期患者合规性并提供试验数据。 总而言之，这种竞争性更新打算将一个独特的，成功的专业社会领导的CQI平台提升到一个新的水平，并继续为其他医学领域树立标准。