The management of acute coronary syndromes (ACS) has an extensive and impressive evidence‐base with which to guide clinical practice. Despite this, translation to the clinical environment has proved to be challenging and incomplete and can be attributed to patient, provider and
system factors. Causes of suboptimal guideline adherence relate to diverse issues, including patient complexity, barriers in knowledge translation of guideline recommendations and a limited capacity within health services. Addressing these factors may enable more effective guideline implementation.
In Australia, the infrastructure for clinical data management is fragmented, uncoordinated and often administratively driven, compromising access to important information, which might improve clinical effectiveness. An integrated approach is required to improve clinical effectiveness in ACS
care in Australia. Greater access to information both to assist in clinical decision‐making and monitoring outcomes may help direct the focus towards understudied populations and improve performance and clinically relevant outcomes. A peer‐led initiative based on common datasets,
providing rapid feedback, while developing and disseminating a ‘toolbox’ of proven and sustainable interventions, could improve clinical effectiveness in the Australian management of ACS and provides a rationale for a national ACS registry.
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acute coronary syndrome;
Document Type: Research Article
Department of Epidemiology and Preventative Medicine, Monash University, and
Department of Cardiovascular Chronic Care, Curtin University, and
The Heart Foundation of Australia, Canberra, Australian Capital Territory, Australia
Alcidion Corporation, Adelaide, South Australia
ISIS Primary Care, Melbourne, Victoria
Flinders Medical Centre
Publication date: 2011-02-01