J Clin Outcomes Manage
2009 Sep ;16(9):405-409
Improved cardiac surgical outcomes with use of total quality management
Stanford JR, Swaney-Berghoff L, Recht KE, Orsagh-Yentis DK
Abstract Objective: To describe a program to improve processes of care for coronary artery bypass graft (CABG) patients. Methods: A director and clinical coordinator were appointed and system improvements were implemented, including use of checklists, Euroscore, monthly morbidity and mortality conferences, and daily patient progress tracking. Results: There was a decrease in the 30-day mortality rate from 3.5% preintervention to 1.25% postintervention (P < 0.05). Conclusion: A cardiac surgery clinical improvement program was successful in reducing the CABG mortality rate at our hospital
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