2023
Variation in hospital use of cardiac resynchronization therapy-defibrillator among eligible patients and association with clinical outcomes
Chui P, Lan Z, Freeman J, Enriquez A, Khera R, Akar J, Masoudi F, Ong E, Curtis J. Variation in hospital use of cardiac resynchronization therapy-defibrillator among eligible patients and association with clinical outcomes. Heart Rhythm 2023, 20: 1000-1008. PMID: 36963741, DOI: 10.1016/j.hrthm.2023.03.022.Peer-Reviewed Original ResearchConceptsEligible patientsICD RegistryCardiac resynchronizationNational Cardiovascular Data Registry ICD RegistryCRT-D implantationCRT-D useHospital-level outcomesStrong guideline recommendationsHospital-level variationPatient-level outcomesIntraclass correlation coefficientQuality improvement effortsHospital mortalityGuideline indicationsReadmission ratesSelect patientsClinical outcomesGuideline recommendationsHospital variationHospital ratesUse of CRTHospital levelHospital usePatientsCase mix
2021
A QI Partnership to Decrease CT Use for Pediatric Appendicitis in the Community Hospital Setting
Goldman MP, Lynders W, Crain M, Kelley M, Solomon DM, Bokhari SAJ, Tiyyagura G, Auerbach MA, Emerson BL. A QI Partnership to Decrease CT Use for Pediatric Appendicitis in the Community Hospital Setting. Pediatric Quality And Safety 2021, 6: e479. PMID: 34589653, PMCID: PMC8476057, DOI: 10.1097/pq9.0000000000000479.Peer-Reviewed Original ResearchCT scan rateQuality improvement initiativesEmergency medical servicesPediatric appendicitisHospital ratesComputerized tomographyUS ratesCommunity hospital settingCT scan useImprovement initiativesMedical servicesState Emergency Medical ServicesPrimary aimQuality improvement teamStandardization of practiceCT useClinical pathwayHospital settingMAIN OUTCOMECase auditPractice trendsUltrasound usePractice changeProcess measuresEmergency department systems
2018
Value-based purchasing may unfairly penalize specialty centers performing combined liver–colon multivisceral resections
Leeds I, Pronovost P, Austin J, Haut E. Value-based purchasing may unfairly penalize specialty centers performing combined liver–colon multivisceral resections. Journal Of Patient Safety And Risk Management 2018, 23: 143-148. DOI: 10.1177/2516043518790654.Peer-Reviewed Original ResearchSurgical site infection rateMultivisceral resectionInfection rateValue-Based Purchasing ProgramColon surgeryOverall surgical site infection rateConcurrent liver resectionElective colon surgerySurgical site infectionHospital-level characteristicsNational Inpatient SampleInadequate risk adjustmentMultivariable linear regressionAdult patientsLiver resectionSite infectionInpatient SampleSpecialty centersHospital ratesResectionHospital identifiersPurchasing ProgramRisk adjustmentValue-based purchasingLinear regression
2016
Hospital Variation in Time to Epinephrine for Nonshockable In-Hospital Cardiac Arrest
Khera R, Chan PS, Donnino M, Girotra S. Hospital Variation in Time to Epinephrine for Nonshockable In-Hospital Cardiac Arrest. Circulation 2016, 134: 2105-2114. PMID: 27908910, PMCID: PMC5173427, DOI: 10.1161/circulationaha.116.025459.Peer-Reviewed Original ResearchConceptsHospital cardiac arrestEpinephrine administrationCardiac arrestFunctional recoveryHospital variationNonshockable rhythmsHospital ratesSurvival rateRisk-standardized survival ratesIn-hospital cardiac arrestHospital-level outcomesRisk-standardized ratesDose of epinephrineMedian survival rateOdds of delayHigh rateGuidelines-ResuscitationAdult patientsOverall survivalWorse survivalSimilar patientsLowest quartileImproved outcomesHospitalPatients
2012
Hospital Patterns of Use of Positive Inotropic Agents in Patients With Heart Failure
Partovian C, Gleim SR, Mody PS, Li SX, Wang H, Strait KM, Allen LA, Lagu T, Normand SL, Krumholz HM. Hospital Patterns of Use of Positive Inotropic Agents in Patients With Heart Failure. Journal Of The American College Of Cardiology 2012, 60: 1402-1409. PMID: 22981548, PMCID: PMC3636773, DOI: 10.1016/j.jacc.2012.07.011.Peer-Reviewed Original ResearchConceptsPositive inotropic agentsRisk-standardized ratesInotropic agentsHeart failureInotrope useHospital patternsMortality rateRisk-standardized mortality ratesHospital mortality rateHeart failure patientsLittle clinical evidenceLength of stayPatient case mixHierarchical logistic regression modelsLogistic regression modelsIntraclass correlation coefficientFailure patientsHospital variationClinical evidenceInterhospital variationClinical guidelinesIndividual hospital effectsHospital ratesHospital effectsPatterns of useVariation in Use of Dual-Chamber Implantable Cardioverter-Defibrillators: Results From the National Cardiovascular Data Registry
Matlock DD, Peterson PN, Wang Y, Curtis JP, Reynolds MR, Varosy PD, Masoudi FA. Variation in Use of Dual-Chamber Implantable Cardioverter-Defibrillators: Results From the National Cardiovascular Data Registry. JAMA Internal Medicine 2012, 172: 634-641. PMID: 22529229, PMCID: PMC8317619, DOI: 10.1001/archinternmed.2012.394.Peer-Reviewed Original ResearchMeSH KeywordsAgedCluster AnalysisComorbidityCross-Sectional StudiesDeath, Sudden, CardiacDefibrillators, ImplantableEquipment DesignFemaleHospitalsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisNew EnglandOdds RatioPacemaker, ArtificialPacific StatesPredictive Value of TestsPrimary PreventionRegistriesConceptsDual-chamber ICDDual-chamber devicesPrimary preventionDual-Chamber Implantable CardioverterMultivariate hierarchical logistic regressionNational Cardiovascular Data RegistrySingle-chamber ICDHospital-level variationStrong independent predictorSudden cardiac deathCross-sectional studyHealth care providersHierarchical logistic regressionPacing indicationCardiac deathHospital clusteringIndependent predictorsPatient factorsPhysician factorsHospital ratesImplantable cardioverterCare providersIdentical patientsCurrent evidenceData registry
2009
Statistical Models and Patient Predictors of Readmission for Acute Myocardial Infarction
Desai MM, Stauffer BD, Feringa HH, Schreiner GC. Statistical Models and Patient Predictors of Readmission for Acute Myocardial Infarction. Circulation Cardiovascular Quality And Outcomes 2009, 2: 500-507. PMID: 20031883, DOI: 10.1161/circoutcomes.108.832949.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionPatient characteristicsAMI readmissionsReadmission ratesMyocardial infarctionPatient riskOvid Evidence-Based Medicine ReviewsEvidence-Based Medicine ReviewsRelevant English-language studiesRisk-stratify patientsPatient risk stratificationInclusion/exclusion criteriaPublic reportingEnglish-language studiesMedicine ReviewsRisk stratificationPatient predictorsHospital ratesPreventable outcomesReadmissionEligible publicationsExclusion criteriaAMI hospitalizationSystematic reviewRelevant articlesHospital Variation in Time to Defibrillation After In-Hospital Cardiac Arrest
Chan PS, Nichol G, Krumholz HM, Spertus JA, Nallamothu BK. Hospital Variation in Time to Defibrillation After In-Hospital Cardiac Arrest. JAMA Internal Medicine 2009, 169: 1265-1273. PMID: 19636027, DOI: 10.1001/archinternmed.2009.196.Peer-Reviewed Original ResearchConceptsCardiac arrestHospital factorsHospital variationIn-hospital cardiac arrestHospital-level effectsHospital cardiac arrestWorse survivalImproved survivalPatient factorsAdult inpatientsHospital predictorsNational registryHospital ratesCardiopulmonary resuscitationGreater oddsIdentical covariatesDefibrillation delaysHospitalDefibrillationDefibrillation timeSurvivalArrestWide variationPatientsInpatients
2008
Statistical Models and Patient Predictors of Readmission for Heart Failure: A Systematic Review
Ross JS, Mulvey GK, Stauffer B, Patlolla V, Bernheim SM, Keenan PS, Krumholz HM. Statistical Models and Patient Predictors of Readmission for Heart Failure: A Systematic Review. JAMA Internal Medicine 2008, 168: 1371-1386. PMID: 18625917, DOI: 10.1001/archinte.168.13.1371.Peer-Reviewed Original ResearchMeSH KeywordsDisease ProgressionEvidence-Based MedicineFemaleHeart FailureHospitalizationHumansIncidenceMaleModels, StatisticalPatient ReadmissionPredictive Value of TestsProportional Hazards ModelsQuality-Adjusted Life YearsRisk FactorsSensitivity and SpecificitySeverity of Illness IndexSurvival AnalysisUnited StatesConceptsPatient characteristicsPatient readmission riskReadmission riskPatient riskSystematic reviewReadmission ratesHospital ratesOvid Evidence-Based Medicine ReviewsEligible English-language publicationsEvidence-Based Medicine ReviewsHeart failure hospitalizationPatient risk stratificationEnglish-language literatureEnglish-language publicationsFailure hospitalizationHF hospitalizationAdult patientsHeart failureHospital readmissionMedicine ReviewsRisk stratificationPatient predictorsInclusion criteriaReadmissionCombined outcome
2004
Hospital-Level Performance Improvement
Bradley EH, Herrin J, Mattera JA, Holmboe ES, Wang Y, Frederick P, Roumanis SA, Radford MJ, Krumholz HM. Hospital-Level Performance Improvement. Medical Care 2004, 42: 591-599. PMID: 15167327, DOI: 10.1097/01.mlr.0000128006.27364.a9.Peer-Reviewed Original ResearchMeSH KeywordsAdrenergic beta-AntagonistsAgedAmerican Hospital AssociationCardiology Service, HospitalComorbidityDrug Utilization ReviewFemaleGeographyGuideline AdherenceHealth Care SurveysHumansLogistic ModelsMaleMiddle AgedMyocardial InfarctionPatient DischargeQuality Assurance, Health CareRegistriesSocioeconomic FactorsUnited StatesConceptsBeta-blocker useAcute myocardial infarctionHospital-level variationHospital characteristicsMyocardial infarctionBeta-blocker prescription ratesHospital-level changesHospital-level ratesAmerican Hospital Association Annual SurveyClinical characteristicsPrescription ratesNational registryAMI volumeHospital ratesRate of improvementImprovement rateTeaching statusIndividual hospitalsInfarctionHospitalNational surveyPercentage pointsTime periodUse ratesWeak predictor
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