TY  - JOUR
T1  - THe question of improvement
AU  - Berwick DM
Y1  - 2012/05/16
N1  - 10.1001/jama.2012.4146
JO  - JAMA
SP  - 2093
EP  - 2094
VL  - 307
IS  - 19
N2  - 
In this issue of JAMA, Berwanger and colleagues1 report a teaching-case–perfect cluster-randomized trial demonstrating the positive effects of a “multifaceted intervention” to improve the reliability of evidence-based management of acute coronary systems in general hospitals in Brazil. With a combination of reminders, a checklist, case management, and staff education, the intervention hospitals used all eligible acute therapies in the first 24 hours after admission 37% more often than control hospitals (67.9% vs 49.5%) and used all evidence-based therapies (ie, not just acute management) 67% more reliably (50.9% vs 31.9%).

SN  - 0098-7484
M3  - doi: 10.1001/jama.2012.4146
UR  - http://dx.doi.org/10.1001/jama.2012.4146
ER  -