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Hospital Variation in Mortality From Cardiac Arrest After Cardiac Surgery: An Opportunity for Improvement?

Tuesday, August 5, 2014

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Source Name: Annals of Thoracic Surgery


Damien J. LaPar, Ravi K. Ghanta, John A. Kern, Ivan K. Crosby, Jeffrey B. Rich, Alan M. Speir, Irving L. Kron, Gorav Ailawadi

This study investigated failure to rescue from cardiac arrest after cardiac surgery in a data set of nearly 80,000 pts in order to determine whether variability in this outcome might provide an opportunity for quality improvement in low-performing hospitals.  The overall failure to rescue rate was 60% among over 4,100 pts who experienced postoperative cardiac arrest.  The rate ranged from 50% to 83%, with the rate varying primarily according to insitutional rather than pt factors.  Identification of best practices at high performing hospitals may offer a means to improve outcomes elsewhere.

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