PMID: 8608334Nov 1, 1995Paper

A regional collaborative effort for CQI in cardiovascular disease. Northern New England Cardiovascular Study Group

The Joint Commission Journal on Quality Improvement
D J Malenka, G T O'Connor

Abstract

The Northern New England Cardiovascular Disease Study Group has met at least three times a year since 1987 to improve the care of patients with cardiovascular disease. ADVANTAGES OF GROUP EFFORT: The group's collaborative nature has allowed members to have explicit discussions about medical decision making and practice and to benchmark with one another. By collaborating, members have been able to accumulate a large enough experience to examine the fine structure of adverse events, learn from them, and institute meaningful changes. IMPROVEMENT STRATEGIES: Focusing on coronary artery bypass grafting (CABG) procedures, the group has used three improvement strategies: (1) Outcomes are monitored across institutions. All members receive reports with information on their experience, their organization's experience, and the regional experience. (2) All members received training in quality improvement tools and techniques. (3) Members conduct comparative process analysis and benchmarking efforts to learn best practices for CABG surgery. The average in-hospital mortality associated with CABG surgery in the region has decreased. The group determined that low output failure is the most common cause of post-CABG death across all hospitals, ...Continue Reading

Citations

Sep 20, 2002·The New England Journal of Medicine·Robert Galvin, Arnold Milstein
Jun 3, 1999·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·B Burden, E Taft
May 8, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Henry S JenningsJoaquin E Cigarroa

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