Association of a Continuous Quality Improvement Initiative With Practice and Outcome Variations of Contemporary Percutaneous Coronary Interventions
- 14 February 2006
- journal article
- research article
- Published by Wolters Kluwer Health in Circulation
- Vol. 113 (6), 814-822
- https://doi.org/10.1161/circulationaha.105.541995
Abstract
Background— The objective of this study was to evaluate the association of a continuous quality improvement program with practice and outcome variations of percutaneous coronary intervention (PCI). Methods and Results— Data on consecutive PCI were collected in a consortium of 5 hospitals; 3731 PCIs reflected care provided at baseline (January 1, 1998, to December 31, 1998), and 5901 PCIs reflected care provided after implementation of a continuous quality improvement intervention (January 1, 2002, to December 31, 2002). The intervention included feedback on outcomes, working group meetings, site visits, selection of quality indicators, and use of bedside tools for quality improvement and risk assessment. Postintervention data were compared with baseline and with 10 287 PCIs from 7 hospitals added to the consortium in 2002. Quality indicators included use of preprocedural aspirin or clopidogrel, use of glycoprotein IIb/IIIa receptor blockers and postprocedural heparin, and amount of contrast media per case...Keywords
This publication has 22 references indexed in Scilit:
- Provider Profiling and Quality Improvement Efforts in Coronary Artery Bypass Graft SurgeryMedical Care, 2003
- Development of a Multicenter Interventional Cardiology Database: The Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2) ExperienceJournal of Interventional Cardiology, 2002
- Development of a risk adjustment mortality model using the American College of Cardiology–National Cardiovascular Data Registry (ACC–NCDR) experience: 1998–2000Journal of the American College of Cardiology, 2002
- The American College of Cardiology-National Cardiovascular Data Registry™ (ACC-NCDR™): building a national clinical data repositoryJournal of the American College of Cardiology, 2001
- Acute renal failure requiring dialysis after percutaneous coronary interventionsCatheterization and Cardiovascular Interventions, 2001
- Changing outcomes in percutaneous coronary interventions: A study of 34,752 procedures in Northern New England, 1990 to 1997Journal of the American College of Cardiology, 1999
- Public release of cardiac surgery outcomes data in New York: What do New York state cardiologists think of it?American Heart Journal, 1997
- Indications, Practice, and Procedural Outcomes of Percutaneous Transluminal Coronary Angioplasty in Northern New England in the Early 1990sThe American Journal of Cardiology, 1996
- New York state's cardiac surgery reporting system: Four years laterThe Annals of Thoracic Surgery, 1994
- Multiple imputation in health‐are databases: An overview and some applicationsStatistics in Medicine, 1991