Evaluation of the impact of a quality improvement program and intensivist-directed ICU team on mortality after cardiac surgery.
J Cardiothorac Vasc Anesth
; 27(6): 1194-200, 2013 Dec.
Article
em En
| MEDLINE
| ID: mdl-24008163
ABSTRACT
OBJECTIVE:
Quality improvement is an important pursuit for critical care teams.DESIGN:
The authors performed an observational cohort study with historic control.SETTING:
Eight-bed cardiac surgery ICU in a tertiary university hospital.PARTICIPANTS:
A total of 4,866 patients undergoing cardiac surgery over a 6-year period between January 2005 and December 2010.INTERVENTIONS:
In this study, the influence of the introduction of a quality improvement program under the supervision of a newly appointed intensivist on patient outcomes after cardiac surgery was evaluated. Patients were further divided into three 2-year periods Period I, 2005-2006, before appointment of an intensivist; Period II, 2007-2008, after appointment of an intensivist and initial introduction of a quality improvement program; and Period III, 2009-2010, after implementation of the program and introduction of Critical Care Information Systems. MEASUREMENTS AND MAINRESULTS:
There were 1,633, 1,690, and 1,543 patients in each period, respectively. There was no significant difference in the severity of patient illness between the groups. Unadjusted in-hospital mortality decreased from 6.37% (104 patients) in Period I to 4.32% (73 patients) and 3.3% (51 patients) in Periods II and III, respectively (p< 0.01).CONCLUSIONS:
Appointment of an intensivist-directed team model and introduction of quality improvement interventions were associated with decreased mortality after cardiac surgery.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Equipe de Assistência ao Paciente
/
Cuidados Críticos
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Melhoria de Qualidade
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Procedimentos Cirúrgicos Cardíacos
Tipo de estudo:
Etiology_studies
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Evaluation_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Child
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article