| Автор | Delong, James, F. |
| Автор | Allman, Richard, M. |
| Автор | Sherrill, Robert, G. |
| Автор | Schiesz, Nadine |
| Дата выпуска | 1998 |
| dc.description | This project was designed to improve the in-hospital management ofMedicare beneficiaries with congestive heart failure (CHF). Eleven hospitals were studied using two indicators: (a) assessment of left ventricular (LV) function, and (b) use of angiotensin converting enzyme (ACE) inhibitors in patients with systolic dysfunction. Baseline performance rates were obtainedfor 990 cases with the Diagnosis Related Group (DRG) 127 for CHF discharged January 1994 to December 1994. Baseline data feedback presentations in 1995 spurred quality improvement plans with interventions such as physician education, critical care maps, and standing orders. Follow-up abstractions were performed on 612 discharges October 199S through April 1997. The study demonstrated 12% improvement (53% to65%, p <.01) inassessingLVfunction and 20% improvement (54% to 74%, p < .01) in appropriate ACE inhibitor use. Projects emphasizing Health Care Quality Improvement Program (HCQIP) principles can successfully affect health care management for the Medicare population. |
| Издатель | SAGE PUBLICATIONS, INC. |
| Название | A Congestive Heart Failure Project with Measured Improvements in Care |
| Тип | Journal Article |
| DOI | 10.1177/016327879802100406 |
| Print ISSN | 0163-2787 |
| Журнал | Evaluation & the Health Professions |
| Том | 21 |
| Первая страница | 472 |
| Последняя страница | 486 |
| Аффилиация | Schiesz, Nadine, Alabama Quality Assurance Foundation |
| Выпуск | 4 |
| Библиографическая ссылка | Acute Infarction Ramipril Efficacy (AIRE) Study Investigators. (1993). Effect of ramnipril on mortality and morbidity of survivors of acute myocardial infarction with clinical evidence of heart failure. Lancet, 342, 821-828. |
| Библиографическая ссылка | Aguirre, F. V., Pearson, A. C., Lewen, M. D., McCluskey, M., & Labovitz, A. J. (1989). Usefulness of Doppler echocardiography in the diagnosis of congestive heart failure. American Journal of Cardiology, 63, 1098-1102. |
| Библиографическая ссылка | Aronow, W. S., Ahn, C., & Kronzon, I. (1990). Prognosis of congestive heart failure in elderly patients with normal versus abnormal left ventricular systolic function associated with coronary artery disease. American Journal of Cardiology, 66, 1257-1259. |
| Библиографическая ссылка | Bonow, R. O., & Udelson, J. E. (1992). Left ventricular diastolic dysfunction as a cause of congestive heart failure: Mechanism and management. Annals of Internal Medicine, 117, 502-510. |
| Библиографическая ссылка | Chakko, C. S., Woska, D., Martinez, H., De Marchena, E., Futterman, L., Kessler, K., & Myerberg, R.. (1991). Clinical, radiographic, and hemodynamic correlations in chronic congestive heart failure: Conflicting results may lead to inappropriate care. American Journal of Medicine, 90, 353-359. |
| Библиографическая ссылка | Cody, R. J. (1994). Comparing angiotensin-converting enzyme inhibitor trial results in patients with acute myocardial infarction. Archives of Internal Medicine, 154, 2029-2036. |
| Библиографическая ссылка | CONSENSUS Trial Study Group. (1987). Effects of enalapril on mortality in severe congestive heart failure. New England Joumal of Medicine, 316, 1429-1435. |
| Библиографическая ссылка | Dougherty, A. H., Naccarelli, G. V., Gray, E. L., Hicks, C., & Goldstein,R. (1984). Congestive heart failure with normal systolic function. Amercian Journal of Cardiology, 54, 778-782. |
| Библиографическая ссылка | Ellerbeck, E. F., Jencks, S. F., Radford, M. J., Dresowik, T. F., Craig, A. S., Gold, J. A., Krumholz, H. M., & Vogel, R. A. (1995). Quality of care of Medicare patients with acute myocardial infarction: A four-state pilot study from the Cooperative Cardiovascular Project. Journal of the American Medical Association, 273, 1509-1514. |
| Библиографическая ссылка | Ghali, J. K., Giles, T., Gonzales,M., Horswell, R., Kumar, S., Lejeune, A., Livaudais, G., & Sarkar, I. (1997). Patterns of physician use of angiotensin converting enzyme inhibitors in the inpatient treatment of congestive heart failure. Louisiana State Society of Medicine Journal, 149(12), 474-484. |
| Библиографическая ссылка | Goldsmith, S. R., & Dick, C. (1993). Differentiating systolic from diastolic heart failure: Pathophysiologic and therapeutic considerations. American Journal of Medicine, 95, 645-655. |
| Библиографическая ссылка | Kannel, W. B., & Belanger, A. J. (1991). Epidemiology of heart. American Heart Journal, 121, 951-957. |
| Библиографическая ссылка | Konstam, M., Drcup, K., Bottorf, M., Brooks, N.L, Dacey, R., Dunbar, S., Jadkson, A., Jessup, M., Johnson, J. C., Jones, R. H., Luchi, R., Massie, B., Pitt, B., Rose, E., Rubin, L., & Wright, R. F. (1994). Heart failure: Evaluation and care of patients with left-ventricular systolic dysfunction. Clinical Practice Guideline No. 11. AHCPR Publication No. 94-0612. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services. |
| Библиографическая ссылка | Marciniak, T. A., Ellerbeck, E. F., Radford, M. J., Kresowik, T. F., Gold, J. A., Krumholz, H. M., Kiefe, C. I., Allman, R. M., Vogel, R. A., & Jencks, S. F. (1998). Improving the quality of care for Medicare patients with acute myocardial infarction. Journal of the American Medical Association, 279, 1351-1357. |
| Библиографическая ссылка | Pfeffer, M. A., Braunwald, E., Moye, L. A., Basta, L., Brown, E., Cuddy, T., Davis, B., Geltman, E., Goldman, S., Flaker, G., Klein, M., Lamas, G., Packer, M., Rouleau, J., Rouleau, J. L., Rutherford, J., Wertheimer, J., & Hawkins, C. M., on behalf of the SAVE Investigators. (1992). Effect of captopril on mortality and morbidity in patients with left ventricular dysfunction after myocardial infarction: Results for the Survival and Ventricular Enlargement Trial. New England Journal of Medicine, 327,669-677. |
| Библиографическая ссылка | SOLVD Investigators. (1991). Effect of enalapril on survival in patients with reduced left ventricular ejection fractions and congestive heart failure. New England Journal ofMedicine, 325,293-302. |
| Библиографическая ссылка | SOLVD Investigators. (1992). Effect of enalapril on mortality and the development of heart failure in asymptomatic patients with reduced left ventricular ejection fractions. New England Journal of Medicine, 327, 685-691. |
| Библиографическая ссылка | Swedburg, K., Helf, P., Kjekshus, J., Rasmussen, K., Ryden, L., & Wedel, H. (1992). Effects of the early administration of enalapril on mortality in patients with acute myocardial infarction: Results for the Cooperative New Scandinavian Enalapril Survival Study II (CONSENSUS II). New England Journal of Medicine, 327, 678-684. |
