PMID: 8596221Mar 20, 1996Paper

A regional intervention to improve the hospital mortality associated with coronary artery bypass graft surgery. The Northern New England Cardiovascular Disease Study Group

JAMA : the Journal of the American Medical Association
G T O'ConnorJ F Kasper

Abstract

To determine whether an organized intervention including data feedback, training in continuous quality improvement techniques, and site visits to other medical centers could improve the hospital mortality rates associated with coronary artery bypass graft (CABG) surgery. Regional intervention study. Patient demographic and historical data, body surface area, cardiac catheterization results, priority of surgery, comorbidity, and status at hospital discharge were collected on CABG patients in Northern New England between July 1, 1987, and July 31, 1993. This study included all 23 cardiothoracic surgeons practicing in Maine, New Hampshire, and Vermont during the study period. Data were collected on 15,095 consecutive patients undergoing isolated CABG procedures in Maine, New Hampshire and Vermont during the study period. A three-component intervention aimed at reducing CABG mortality was fielded in 1990 and 1991. The interventions included feedback of outcome data, training in continuous quality improvement techniques, and site visits to other medical centers. A comparison of the observed and expected hospital mortality rates during the postintervention period. During the postintervention period, we observed the outcomes for 6488 ...Continue Reading

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