Enhanced Feedback for Effective Cardiac Treatment (EFFECT)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 46,000
- 试验地点
- 2
- 主要终点
- EFFECT AMI Composite Quality Indicator in the year after report cards published
研究概览
简要总结
Randomized cluster trial of cardiac report cards for AMI and CHF. 103 acute care Ontario hospitals/85 hospital corporations participating, randomized to two groups: Group A Early Feedback and Group B Delayed Feedback.
Two phases of retrospective chart review of AMI and CHF separations to assess the impact of the public release of hospital specific performance on a set of Canadian quality indicators.
详细描述
Study Overview:
The EFFECT Study is one of the largest and most comprehensive initiatives in the world to measure and improve the quality of cardiac care. A randomized trial of cardiac care report cards, the study's objective is to determine whether developing and publishing report cards based on clinical data collected from patient charts leads to greater use of evidence-based therapy at hospitals that receive them.
The three-phase study focuses on acute myocardial infarction (AMI) and congestive heart failure (CHF) and involves 85 hospital corporations (consisting of 103 acute care hospitals) in Ontario. As part of the study design, the hospitals were randomized into two groups: Group A-Early feedback hospitals (44 hospital corporations/53 hospitals) and Group B-Delayed feedback hospitals (41 hospital corporations/50 hospitals).
Phase I A retrospective chart review of hospitalizations from 1999/00 and 2000/01 was conducted in the participating Ontario hospital corporations. Findings from Phase I were documented in two reports:
- Report 1. Report Cards on Group A-Early Feedback Hospitals, released January 2004;
- Report 2. Report Cards on Group B-Delayed Feedback Hospitals, to be released September 2005.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Hospital: Treat > 30 AMI/CHF cases/patients per year in Ontario
- •AMI Most responsible diagnosis of acute myocardial infarction(ICD-9 code 410)
- •CHF Most responsible diagnosis of heart failure(ICD-9 code 428)
排除标准
- •AMI Not admitted to an acute care hospital
- •AMI Age < 20 or > 105 years
- •AMI Invalid health card number
- •AMI Admitted to non-cardiac surgical service
- •AMI Transferred from another acute care facility
- •AMI coded as an in-hospital complication
- •AMI admission within the past year
- •CHF Not admitted to an acute care hospital
- •CHF Age < 20 or > 105 years
- •CHF Invalid health card number
- •CHF Admitted to surgical service
- •CHF Transferred from another acute care facility
- •CHF coded as an in-hospital complication
- •CHF admission within the past three years
结局指标
主要结局
EFFECT AMI Composite Quality Indicator in the year after report cards published
时间窗: April 1, 2004 - March 31, 2005
EFFECT CHF Composite Quality Indicator in the year after report cards published
时间窗: April 1, 2004 - March 31, 2005
次要结局
- CCORT/CCS Individual AMI Quality Indicators in the year after report cards published(April 1, 2004 - March 31, 2005)
- CCORT/CCS Individual CHF Quality Indicators in the year after report cards published(April 1, 2004 - March 31, 2005)