{"id":9688,"date":"2026-02-03T09:57:17","date_gmt":"2026-02-03T09:57:17","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=9688"},"modified":"2026-02-03T09:57:18","modified_gmt":"2026-02-03T09:57:18","slug":"standardising-acute-coronary-syndrome-management-the-impact-of-electronic-order-sets-on-prescribing-compliance-in-a-tertiary-cardiology-centre-2025","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2026\/02\/03\/standardising-acute-coronary-syndrome-management-the-impact-of-electronic-order-sets-on-prescribing-compliance-in-a-tertiary-cardiology-centre-2025\/","title":{"rendered":"Standardising Acute Coronary Syndrome Management: The Impact of Electronic Order Sets on Prescribing Compliance in a Tertiary Cardiology Centre. (2025)"},"content":{"rendered":"\n

Type of publication:<\/strong><\/p>\n\n\n\n

Conference abstract<\/p>\n\n\n\n

Author(s):<\/strong><\/p>\n\n\n\n

*Bhambra G.; Fan L.<\/p>\n\n\n\n

Citation:<\/strong><\/p>\n\n\n\n

Heart. Conference: BACPR Annual Conference 2025. Glasgow United Kingdom. 111(Supplement 5) (pp A9), 2025. Date of Publication: 01 Nov 2025.<\/p>\n\n\n\n

Abstract:<\/strong><\/p>\n\n\n\n

Background Acute Coronary Syndrome (ACS) management relies on timely and accurate prescribing of evidence-based pharmacological therapies as per NICE NG185 guidelines. However, inconsistencies in prescribing practices, especially between cardiology-trained and non-cardiology clinicians, can lead to delays in optimal treatment, inconsistencies in care, and suboptimal discharge planning. Aim To evaluate whether implementing a standardised electronic prescribing order set improves compliance with NICE NG185 recommendations in ACS patients admitted to a tertiary cardiology centre. Method A retrospective review was conducted using EPMA (Electronic Prescribing and Medicines Administration) preintervention (June-October 2022, n=221) and post intervention (February-March 2023, n=76). Patients admitted with STEMI or NSTEMI were assessed within 1-3 days of admission for prescribing compliance with five core ACS medications: aspirin, beta-blockers, statins, proton pump inhibitors (Table present) (PPIs) and ACE inhibitors (ACEi). Following governance approval, a standardised electronic NICE-aligned order set was implemented on the EPMA system. Prescribing compliance pre and post intervention were compared and analysed for significance. Results Pre-intervention (NSTEMI=104, STEMI=117) revealed universal aspirin prescribing (100%), but notable omissions in other therapies: beta-blockers (70.6%), PPIs (72.9%), ACEi (71.5%) and statins (91.4%) [table 1]. Post-intervention (NSTEMI=28, STEMI=48) showed significant prescribing improvements: beta-blockers: +20.2% (p=0.0007), PPIs: +15.3% (p=0.0102), and ACEi: +10.1% (p=0.1143). Statin prescribing showed smaller changes (+3.3%) [table 1]. Conclusion Introducing standardised electronic order sets significantly improved prescribing compliance for ACS medications, particularly beta-blockers and PPIs. This intervention promoted adherence to NICE NG185 guidelines, reduced prescribing variability, streamlined medication reconciliation and improved discharge readiness. Embedding digital decision-support tools into EPMA can enhance early initiation of secondary prevention and facilitate a smoother transition to cardiovascular rehabilitation to optimise ACS care. Future directions will focus on sustainability and scalability across additional clinical settings and specialties to standardise ACS care.<\/p>\n\n\n\n

DOI: <\/strong>10.1136\/heartjnl-2025-BACPR.15<\/p>\n\n\n\n

Link to full-text<\/a> [NHS OpenAthens account required]<\/p>\n","protected":false},"excerpt":{"rendered":"

Type of publication: Conference abstract Author(s): *Bhambra G.; Fan L. Citation: Heart. Conference: BACPR Annual Conference 2025. Glasgow United Kingdom. 111(Supplement 5) (pp A9), 2025. Date of Publication: 01 Nov 2025. Abstract: Background Acute Coronary Syndrome (ACS) management relies on…<\/span><\/p>\n

Read more Standardising Acute Coronary Syndrome Management: The Impact of Electronic Order Sets on Prescribing Compliance in a Tertiary Cardiology Centre. (2025)<\/span> ›<\/span><\/a><\/div>\n

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