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Even though the specifics of each pathway differ, there are key features which are common to all these pathways encompassing partnership building http://www.selleckchem.com/products/ganetespib-sta-9090.html with emergency medicine physicians, flexibility to allow individual patient adaption, tools derived from published national clinical guidelines, involvement of all caregivers across the continuum of care (not just cardiologists), involvement of patients in their own medical care, incorporation of specialists at appropriate time, and the usage of updated relevant clinical data to modify accordingly for continuous effectiveness of our approach. In this current study, we are presenting the data from the PAIN pathway (Herzog et al., 2004) for the management of hospitalized patients with ACS, with the hypothesis that implementation of such pathway driven management plan would be an effective way for improving patient care. The ACAP�CPAIN program focused on creating a comprehensive set of tools and educational initiatives to integrate the initiation and maintenance of evidence-based therapies into the routine care of patients. The PAIN pathway treatment algorithm (Figure 1) focused on the initiation of antiplatelet therapy, ��-blocker, ACE inhibitor, and statin therapy (irrespective of baseline LDL cholesterol and dosed to achieve LDL cholesterol of http://www.selleckchem.com/products/poziotinib-hm781-36b.html ACAP�CPAIN used preprinted order sets as admission http://www.selleck.cn/products/cobimetinib-gdc-0973-rg7420.html forms, discharge forms, physician and nursing educational tools, pocket cards, hospital-wide posters, and patient education material to facilitate program implementation. Hospital staff including interns, residents, attending physicians, physician assistants, and nursing staff were given periodic lectures to illustrate them of their valuable role in the successful implementation and adherence to ACAP�CPAIN admission and discharge forms completion. A group of research assistants collected a duplicate copy of all the ACAP�CPAIN forms. These forms were filled either by medical residents or physician assistants. Thorough review of the patient charts was performed to ensure that the strategy devised for each patient at the admission was followed during hospitalization. These forms were then passed on to a second group of research assistants for data entry into the corresponding databases. To assess the effectiveness of the program, treatment rates and clinical outcomes were compared for consecutively treated patients hospitalized with a diagnosis of ACS in the period before and after ACAP implementation. Admission and discharge summaries of all patients admitted with a diagnosis of ACS were collected, reviewed, and analyzed.
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