What is the clinical evidence from this study?

Study design: Observational. Population: Acute decompensated heart failure (n=81142). Primary outcome: Rates of conformity with 4 Joint Commission core performance measures (HF-1, HF-2, HF-3, HF-4).

July 11, 2005Archives of Internal Medicine

Conformity to heart failure quality-of-care indicators varied widely across 223 US hospitals, with median rates ranging from 24.0% for discharge instructions to 86.2% for LV function assessment.

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Population

81,142 admissions for heart failure at 223 academic and non-academic hospitals in the United States…

Design

Cohort

Follow-up

in-hospital

Key result

Conformity to heart failure quality-of-care indicators varied widely across 223 US hospitals, with median rates ranging from 24.0% for discharge instructions to 86.2% for LV function assessment.

Authors

GFGregg C. Fonarow

Discussion

Member takes

Overview

Substantial hospital variation in HF quality indicators may signal opportunities for improvement; leaves open links to outcomes and effective interventions.

Study Design

Type

Observational (n=81,142)

Multicenter

Yes

Structured PICO

Population

81,142 admissions for heart failure at 223 academic and non-academic hospitals in the United States participating in the Acute Decompensated Heart Failure National Registry (ADHERE)

Outcome

Rates of conformity with 4 Joint Commission on Accreditation of Healthcare Organizations core performance measures (discharge instructions, assessment of left ventricular function, use of angiotensin-converting enzyme inhibitors in patients with left ventricular systolic dysfunction, and smoking cessation counseling)

There is significant variability and a substantial gap in overall performance regarding conformity to heart failure quality-of-care indicators across US hospitals.

Cite This Study

Gregg C. Fonarow (2005) conducted an observational in Acute decompensated heart failure (n=81,142). Conformity to heart failure quality-of-care indicators varied widely across 223 US hospitals, with median rates ranging from 24.0% for discharge instructions to 86.2% for LV function assessment.

synapsesocial.com/papers/6a08b096113ba5b476de6616 https://doi.org/10.1001/archinte.165.13.1469

View Full Paper

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July 11, 2005Archives of Internal Medicine

Conformity to heart failure quality-of-care indicators varied widely across 223 US hospitals, with median rates ranging from 24.0% for discharge instructions to 86.2% for LV function assessment.

View Full Paper

Ask AI

Bookmark

Population

81,142 admissions for heart failure at 223 academic and non-academic hospitals in the United States…

Design

Cohort

Follow-up

in-hospital

Key result

Conformity to heart failure quality-of-care indicators varied widely across 223 US hospitals, with median rates ranging from 24.0% for discharge instructions to 86.2% for LV function assessment.

Authors

GFGregg C. Fonarow

Discussion

Member takes

Overview

Substantial hospital variation in HF quality indicators may signal opportunities for improvement; leaves open links to outcomes and effective interventions.

Study Design

Type

Observational (n=81,142)

Multicenter

Yes

Structured PICO

Population

81,142 admissions for heart failure at 223 academic and non-academic hospitals in the United States participating in the Acute Decompensated Heart Failure National Registry (ADHERE)

Outcome

There is significant variability and a substantial gap in overall performance regarding conformity to heart failure quality-of-care indicators across US hospitals.

Cite This Study

synapsesocial.com/papers/6a08b096113ba5b476de6616 https://doi.org/10.1001/archinte.165.13.1469

View Full Paper

Ask AI

Bookmark