Discharge management of acute coronary syndromes (DMACS) toolkit
About the DMACS DUE toolkit
The DMACS DUE toolkit is a quality improvement tool to assist hospital medical, surgical, pharmacy and nursing staff working with patients discharged with a diagnosis of acute coronary syndromes (ACS) to conduct an audit of the discharge management of patients with ACS.
After completing this DUE health professionals should be able to:
- Describe current guideline recommendations regarding discharge medicines following an ACS and support appropriate prescribing through audit and feedback.
- Systematically provide and communicate to all patients discharged with ACS all components of a long term management plan.
- Communicate management plans to all those involved in the continuing care of the patient following discharge by determining the appropriate information and identifying who to inform.
- Systematically refer all patients discharged with ACS to undertake a secondary prevention program, which is tailored to individual circumstances.
- Recognise that adherence to lifestyle changes and discharge medications can prevent further attacks.
Due to the release in May 2011 of an addendum to the Guidelines for the Management of Acute Coronary Syndromes 2006 by the National Heart Foundation/Cardiac Society of Australia and New Zealand, some minor updates have been made to the e-DUE tool and toolkit.
These updates will not change the quality measures or functionality of the tool. The only impact to the DMACS DUE activity is the use of prasugrel and ticagrelor as alternatives to clopidogrel where indicated. Please refer to the National Heart Foundation professional pages for more information about the addendum and refer to our Frequently Asked Questions for instructions on upgrading.
Give us your feedback
For further information about this tool please contact NPS on 02 8217 8700 or via email.
About the DMACS ProjectThe Discharge management of acute coronary syndromes (DMACS) project (2008–2009) sought to address evidence–practice gaps through targeted interventions delivered across multiple hospital sites. Consultation with hospitals revealed evidence-practice gaps in the care processes of patients with acute coronary syndromes (ACS), specifically in the discharge phase and long-term adherence to guideline-recommended medications post discharge. Hence, the DMACS project aimed to improve management of ACS at the point of discharge, with a focus on optimising:
- the prescription of cardiovascular medications
- provision of education on lifestyle modifications to patients
- communication between hospitals and patients/carers as well as community healthcare providers regarding post discharge management of patients.
The project engaged the expertise of the National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand.