Google Play icon

Certain hospital strategies lower mortality rates for heart attack patients

Share
Posted December 11, 2012

Despite a substantial decline in deaths from heart attack in the past decade, there is still substantial variation in 30-day risk-standardized mortality rates (RSMRs) from hospital to hospital. Researchers who surveyed 537 hospitals have identified several hospital strategies that were strongly associated with lower mortality rates for patients hospitalized for heart attack.

Lower mortality rates were more likely to occur when the hospital culture encouraged clinicians to creatively solve problems, physicians and nurses acted as champions to improve the quality of care, hospital clinicians met at least monthly to review care with staff who transported patients to the hospital, and cardiologists were always present in the hospital.

Hospital strategies associated with higher mortality rates included having only nurse champions and cross-training critical care nurses for the cardiac catheterization lab. Although the size of the effect for individual strategies was modest, taken together, they exceeded an absolute difference of 1 percent in RSMRs. If a change this large could be achieved nationally, thousands of lives could be saved yearly by using interventions that have negligible risk and could be implemented with relatively few new resources, suggest the researchers. Their study was supported in part by the Agency for Healthcare Research and Quality (HS16929).

See “Hospital strategies for reducing risk-standardized mortality rates in acute myocardial infarction” by Elizabeth H. Bradley, Ph.D., Leslie A. Curry, Ph.D., Erica S. Spatz, M.D., and others in the Annals of Internal Medicine 156, pp. 618-626, 2012.

Source: AHRQ

Featured news from related categories:

Technology Org App
Google Play icon
84,698 science & technology articles

Most Popular Articles

  1. Real Artificial Gravity for SpaceX Starship (September 17, 2019)
  2. Top NASA Manager Says the 2024 Moon Landing by Astronauts might not Happen (September 19, 2019)
  3. How social media altered the good parenting ideal (September 4, 2019)
  4. What's the difference between offensive and defensive hand grenades? (September 26, 2019)
  5. Just How Feasible is a Warp Drive? (September 25, 2019)

Follow us

Facebook   Twitter   Pinterest   Tumblr   RSS   Newsletter via Email