Comprehensive Coronary Artery Disease Care in a Safety-Net Hospital: Results of Get With The Guidelines Quality Improvement Initiative

2007 ◽  
Vol 13 (4) ◽  
pp. 319-325 ◽  
Author(s):  
Mori J. Krantz ◽  
William A. Baker ◽  
Raymond O. Estacio ◽  
Deborah K. Haynes ◽  
Philip S. Mehler ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Quality Improvement ◽  
Coronary Artery ◽  
Safety Net ◽  
Quality Improvement Initiative ◽  
Safety Net Hospital ◽  
Artery Disease ◽  
Get With The Guidelines

scholarly journals CRT-200.89 Incidence and Risk Factors of Atherosclerotic Carotid Disease Among Patients With Known Coronary Artery Disease at an Urban Safety Net Hospital

2016 ◽  
Vol 9 (4) ◽  
pp. S30
Author(s):  
Merije Chukumerije ◽  
Lucas Christianson ◽  
Miyako Igari ◽  
Anilkumar Mehra ◽  
David Shavelle ◽  
...  
Keyword(s):  
Risk Factors ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Safety Net ◽  
Carotid Disease ◽  
Safety Net Hospital ◽  
Urban Safety ◽  
Artery Disease

scholarly journals Improving Respiratory Rate Accuracy in the Hospital: A Quality Improvement Initiative

2019 ◽  
Vol 14 (11) ◽  
pp. 673-677 ◽  
Author(s):  
Neil Keshvani ◽  
Kimberly Berger ◽  
Arjun Gupta ◽  
Sheila DePaola ◽  
Oanh Kieu Nguyen ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Respiratory Rate ◽  
Low Cost ◽  
Blood Pressure Measurement ◽  
Vital Signs ◽  
Safety Net ◽  
Adverse Outcomes ◽  
Quality Improvement Initiative ◽  
Safety Net Hospital ◽  
Automated Blood Pressure Measurement

Respiratory rate (RR) is a predictor of adverse outcomes. However, RRs are inaccurately measured in the hospital. We conducted a quality improvement (QI) initiative using plan-do-study-act methodology on one inpatient unit of a safety-net hospital to improve RR accuracy. We added time-keeping devices to vital sign carts and retrained patient-care assistants on a newly modified workflow that included concomitant RR measurement during automated blood pressure measurement. The median RR was 18 (interquartile range [IQR] 18-20) preintervention versus 14 (IQR 15-20) postintervention. RR accuracy, defined as ±2 breaths of gold-standard measurements, increased from 36% preintervention to 58% postintervention (P < .01). The median time for vital signs decreased from 2:36 minutes (IQR, 2:04-3:20) to 1:55 minutes (IQR, 1:40-2:22; P < .01). The intervention was associated with a 7.8% reduced incidence of tachypnea-specific systemic inflammatory response syndrome (SIRS = 2 points with RR > 20; 95% CI, –13.5% to –2.2%). Our interdisciplinary, low-cost, low-tech QI initiative improved the accuracy and efficiency of RR measurement.

LIMITED TESTING FOR CORONARY ARTERY DISEASE IN PATIENTS WITH NEW-ONSET HEART FAILURE: FINDINGS FROM GET WITH THE GUIDELINES - HEART FAILURE

2020 ◽  
Vol 75 (11) ◽  
pp. 866
Author(s):  
Kyle O'Connor ◽  
Todd Brophy ◽  
Gregg C. Fonarow ◽  
Ron Blankstein ◽  
Rajesh V. Swaminathan ◽  
...  
Keyword(s):  
Heart Failure ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Artery Disease ◽  
Get With The Guidelines ◽  
Limited Testing ◽  
New Onset
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