| Summary: | Thesis (M.Sc.)--Memorial University of Newfoundland, 2001. Medicine Bibliography: leaves 89-104 OBJECTIVES: To determine the effectiveness of an in-hospital cardiovascular risk management strategy in Acute Myocardial Infarction patients and to assess roles and responsibilities of cardiology staff for risk factor management. -- METHODS: A descriptive study, based on chart reviews, compared risk factor identification, documentation and management before and after implementation of a risk management strategy. Perceived roles and responsibilities of cardiology staff were determined through surveys. -- RESULTS: The strategy was partially effective. One of seven variables for risk identification and documentation (history of coronary artery disease) achieved statistical significance (p < 0.04). Four of eight management variables (lipid measurement, statin drug utilization, stress counseling and smoking counseling) achieved statistical significance (p < 0.001). Cardiology staff was in near total agreement (98%) with the need for a team approach for in-hospital risk management. -- CONCLUSIONS: Despite improvements, significant future opportunities exist. Chart forms are being revised; a collaborative strategy at the time of re-launch is recommended.
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