Quality improvement intervention does not improve heart attack outcomes in India

An NHLBI-funded study demonstrated that a simple toolkit of checklists, education materials and quality and performance reporting improved the quality of care in hospitals in the south Indian state of Kerala. The findings were published in the Journal of the American Medical Association.

According to the study, while the toolkit did not show an improvement in outcomes in hospitals, it has the potential to improve outcomes of heart attacks and other major cardiovascular disease events in other settings.

The Acute Coronary Syndrome Quality Improvement in Kerala (ACS QUIK) study represents the largest randomized trial in cardiovascular medicine in India to date, an important milestone in a country that has more heart attacks than any other.