… The aim of this study is to assess the effect of a multifaceted … intervention assessed at
the BRIDGE ACS trial, a study … provide a crucial way to bridge the gap between guideline-based …

… Our findings demonstrated gaps in optimal medical care … a quality improvement intervention
to improve process of care … outcome, then this trial will provide high-quality evidence for …

… , introducing a multifaceted QCI intervention had no significant effect … process indicators of
evidence-based ACS management. … In this stepped-wedge cluster randomized clinical trial, we …

… of a multifaceted educational intervention, versus usual care, on oral anticoagulant use in …
Oral anticoagulant use increased in the intervention group from 68% (804 of 1184 patients) at …

… Previous cluster randomized trials of acute coronary syndrome … Coronary Syndromes (BRIDGE-ACS),
9 and Clinical … First, the complex intervention included several evidence-based …

… interventions tested in cluster randomized trials. 13 … multifaceted intervention on use of
evidence-based therapies in patients with acute coronary syndromes in Brazil: the BRIDGE-ACS …

… approaches to improve implementation of evidence-based care … Effective strategies have
been multifaceted, as there are … This can be done as a cluster randomized trial, in which …

… cluster randomized trial assessed the effect of a multifaceted quality improvement intervention
on adherence to evidence-based … • The BRIDGE-ACS trial was a cluster-randomized study …

… to improve early diagnosis and standardized treatment of acute … evidence regarding the
strength and quality of intervention … Narrowing the policy support gaps in different regions is an …

… Findings In this cluster-randomized clinical trial that included … intervention group adhered
to 88.2% of the evidence-based … once gaps in the application of evidence-based interventions …