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Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
09:12

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Published on: March 27, 2018

Coronary artery bypass grafting surgery in Oklahoma: processes and outcomes of care

Siddhartha Venkatappa1, Cynthia K Murray, Dale W Bratzler

  • 1University of Central Oklahoma, USA.

The Journal of the Oklahoma State Medical Association
|April 5, 2003
PubMed

Insights

Quality improvement for Coronary Artery Bypass Grafting (CABG) surgery in Oklahoma showed significant variations in care among hospitals. This study highlights opportunities to enhance patient outcomes for CABG procedures.

Area of Science:

  • Health Services Research
  • Quality Improvement Science
  • Cardiovascular Surgery Outcomes

Background:

  • Coronary Artery Bypass Grafting (CABG) is a frequent surgical procedure for Medicare beneficiaries in Oklahoma.
  • The Centers for Medicare & Medicaid Services initiated a project to assess quality improvement in CABG surgery.

Purpose of the Study:

  • To evaluate process-oriented quality improvement activities for Coronary Artery Bypass Grafting (CABG) surgery.
  • To identify inter-hospital variations in the processes and outcomes of CABG care.

Main Methods:

  • Structured medical record review of 2,312 CABG patients (July 1995-June 1996) and 926 CABG patients (July-December 1998).
  • Abstraction of demographic, procedural, and outcome variables from patient medical records.
  • Analysis of inter-hospital variations in care processes and patient outcomes across 13 Oklahoma hospitals.

Main Results:

  • Significant variations in CABG care processes were observed among the 13 participating Oklahoma hospitals.
  • Inter-hospital differences in patient outcomes following CABG surgery were also identified.
  • The data indicate substantial opportunities for improving the quality of CABG care within Oklahoma.

Conclusions:

  • There are considerable variations in the delivery of Coronary Artery Bypass Grafting (CABG) care across Oklahoma hospitals.
  • Quality improvement initiatives are needed to address identified variations and enhance patient outcomes for CABG surgery.

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