Hospital Strategies for Reducing Risk-Standardized Mortality Rates for Acute Myocardial Infarction

Abstract

Letters16 October 2012Hospital Strategies for Reducing Risk-Standardized Mortality Rates for Acute Myocardial InfarctionElizabeth H. Bradley, PhD, Leslie A. Curry, PhD, MPH, and Harlan M. Krumholz, MD, SMElizabeth H. Bradley, PhDFrom Yale University School of Public Health, New Haven, CT 06520; and Yale University School of Medicine, New Haven, CT 06510.Search for more papers by this author, Leslie A. Curry, PhD, MPHFrom Yale University School of Public Health, New Haven, CT 06520; and Yale University School of Medicine, New Haven, CT 06510.Search for more papers by this author, and Harlan M. Krumholz, MD, SMFrom Yale University School of Public Health, New Haven, CT 06520; and Yale University School of Medicine, New Haven, CT 06510.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-157-8-201210160-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Our research identified strategies that, on average, were associated with lower 30-day RSMRs. The findings may differ at individual institutions depending on the context and implementation success of a particular strategy. Creating a bridge team, as noted by Dr. Trost and colleagues, is a different strategy from what we measured, which was cross-training nurses from critical care areas for the cardiac catheterization laboratory. Although we are unable to empirically determine the underlying reason for this observed association, one possible explanation is inadequate team-building within the catheterization laboratory, as nurses may regularly be substituted from other areas. The strategies ...Reference1. Curry LA, Spatz E, Cherlin E, Thompson JW, Berg D, Ting HH, et al. What distinguishes top-performing hospitals in acute myocardial infarction mortality rates? A qualitative study. Ann Intern Med. 2011;154:384-90. [PMID: 21403074] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Yale University School of Public Health, New Haven, CT 06520; and Yale University School of Medicine, New Haven, CT 06510.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-2034. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoHospital Strategies for Reducing Risk-Standardized Mortality Rates in Acute Myocardial Infarction Elizabeth H. Bradley , Leslie A. Curry , Erica S. Spatz , Jeph Herrin , Emily J. Cherlin , Jeptha P. Curtis , Jennifer W. Thompson , Henry H. Ting , Yongfei Wang , and Harlan M. Krumholz Hospital Strategies for Reducing Risk-Standardized Mortality Rates for Acute Myocardial Infarction Jeffrey C. Trost , Sammy Zakaria , Marlene Williams , and Nisha Chandra-Strobos Metrics Cited ByHuman Resource Management, Complementarity and Organisational Performance 16 October 2012Volume 157, Issue 8Page: 599KeywordsCatheterizationConflicts of interestCritical careDeath ratesDisclosureHealth care qualityInformation storage and retrievalPatientsQualitative studiesResearch laboratories ePublished: 16 October 2012 Issue Published: 16 October 2012 CopyrightCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...