Quality indicators for acute myocardial infarction: A position paper of the Acute Cardiovascular Care Association

Francois Schiele, Chris P. Gale, Eric Bonnefoy, Frederic Capuano, Marc J. Claeys, Nicolas Danchin, Keith Aa Fox, Kurt Huber, Zaza Iakobishvili, Maddalena Lettino, Tom Quinn, Maria Rubini Gimenez, Hans E. Bøtker, Eva Swahn, Adam Timmis, Marco Tubaro, Christiaan Vrints, David Walker, Doron Zahger, Uwe ZeymerHector Bueno

Research output: Contribution to journalArticlepeer-review

70 Scopus citations


Evaluation of quality of care is an integral part of modern healthcare, and has become an indispensable tool for health authorities, the public, the press and patients. However, measuring quality of care is difficult, because it is a multifactorial and multidimensional concept that cannot be estimated solely on the basis of patients' clinical outcomes. Thus, measuring the process of care through quality indicators (QIs) has become a widely used practice in this context. Other professional societies have published QIs for the evaluation of quality of care in the context of acute myocardial infarction (AMI), but no such indicators exist in Europe. In this context, the European Society of Cardiology (ESC) Acute Cardiovascular Care Association (ACCA) has reflected on the measurement of quality of care in the context of AMI (ST segment elevation myocardial infarction (STEMI) and non-ST segment elevation myocardial infarction (NSTEMI)) and created a set of QIs, with a view to developing programmes to improve quality of care for the management of AMI across Europe. We present here the list of QIs defined by the ACCA, with explanations of the methodology used, scientific justification and reasons for the choice for each measure.

Original languageEnglish
Pages (from-to)34-59
Number of pages26
JournalEuropean Heart Journal: Acute Cardiovascular Care
Issue number1
StatePublished - 1 Feb 2017
Externally publishedYes


  • Quality of care
  • acute cardiovascular care
  • anti-thrombotic treatment
  • centre organisation
  • composite indicator
  • discharge treatment
  • myocardial infarction
  • patient satisfaction
  • quality indicators
  • reperfusion
  • risk assessment

ASJC Scopus subject areas

  • Medicine (all)


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