July 1, 2013Journal of Cardiopulmonary Rehabilitation and Prevention

Short- and Long-term Impact of an Inpatient Quality Improvement Initiative

View Full Paper

Ask AI

Bookmark

Why the study?

Does a sequential quality improvement initiative improve the prescription of preventive medications and reduce mortality in patients undergoing CABG surgery?

Population

899 patients undergoing coronary artery bypass graft surgery in Olmsted County, MN.

Comparison

Sequential 3-phase quality improvement… vs Baseline comparison group selected randomly from…

Design

Cohort

Follow-up

1 year

Authors

RTRandal J. ThomasGeneral / Preventive / Lipids KGKashish GoelInterventional Cardiology MJMarwan JumeanThe University of Texas Health Science Center at Houston

Discussion

Member takes

Implication

Inpatient QI tools may increase early post-CABG prescriptions without 1-year or survival gains; leaves open whether outpatient cardiac rehabilitation sustains adherence.

Structured PICO

Does a sequential quality improvement initiative improve the prescription of preventive medications and reduce mortality in patients undergoing CABG surgery?

Population

899 patients undergoing coronary artery bypass graft (CABG) surgery in Olmsted County, MN (baseline n=305, phase 1 n=213, phase 2 n=182, phase 3 n=199).

Intervention

Sequential 3-phase quality improvement (QI) initiative: phase 1 (pocket reminder card with preventive medication guidelines for surgery team), phase 2 (monthly team feedback reports added), phase 3 (patient reminder card listing prescribed medications added).

Comparator

Baseline comparison group selected randomly from patients undergoing CABG surgery in the year prior to the intervention.

Outcome

Patient receipt of preventive medications and all-cause mortality.

Inpatient quality improvement tools can increase early prescription of preventive medications after CABG, but long-term adherence may depend more on outpatient interventions like cardiac rehabilitation.

Cite This Study

Thomas et al. (2013) studied this question.

synapsesocial.com/papers/6a910ffa5730a89ab2caf4a9 https://doi.org/10.1097/hcr.0b013e3182930cd0

Topics

Coronary artery disease Dual antiplatelet therapy

View Full Paper

Ask AI

Bookmark

Implication

Inpatient QI tools may increase early post-CABG prescriptions without 1-year or survival gains; leaves open whether outpatient cardiac rehabilitation sustains adherence.

Short- and Long-term Impact of an Inpatient Quality Improvement Initiative

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Short- and Long-term Impact of an Inpatient Quality Improvement Initiative

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider