Skip to main content

Table 2 Description of current strategies used by sample (N = 378 Hospitals) 1

From: Strategies to reduce hospital 30-day risk-standardized mortality rates for patients with acute myocardial infarction: a cross-sectional and longitudinal survey

Survey item N (%)
Quality Improvement and Monitoring  
Hospital had a QI team devoted to improving inpatient mortality in patients with AMI 289 (79.8%)
Hospital had QI team for improving post-discharge mortality in patients with AMI 163 (45.3%)
Hospital had a designated person or group to review deaths of patients with AMI that occurred during hospitalization 301 (88.8%)
Hospital had a designated person or group to review deaths of patients with AMI that occurred within 30 days of admission 121 (33.9%)
Hospital had a regular morbidity and mortality conferences (or another educational session) to discuss individual cases of patients with AMI 192 (53.9%)
Hospital was part of a regional effort or consortium of hospitals to improve AMI care 289 (80.5%)
Strategies for Pre-Hospital and In-Patient Care  
Hospital provided training to EMS providers about AMI care monthly or quarterly 195 (54.5%)
Clinicians from your hospital met with EMS providers to review the care of patients with AMI  
    Yes, about monthly 125 (38.8%)
    Other than monthly 197 (61.2%)
Hospital had 1 or more physician or nurse champions focused on improving either inpatient or 30-day mortality in patients with AMI  
    Neither physician nor nurse champion 87 (24.3%)
    Nurse champion only 17 (4.8%)
    Physician champion only 40 (11.2%)
    Both physician and nurse champion 214 (59.8%)
On inpatient units, hospital had computerized assisted physician order entry 274 (76.3%)
Non-interventional or interventional cardiologists or cardiology fellows were at the hospital 24-hours/day and 7-days/week 90 (24.7%)
Nurses in at least one of your critical care areas were cross-trained to cover in the catheterization laboratory 52 (14.5%)
Which of the following best describes the role of pharmacists in caring for patients with AMI during this time?  
    Pharmacists round on all patients in the CCU or with AMI 162 (48.8%)
    Pharmacists do not round, but review the medications of all patients with AMI 102 (30.7%)
    Pharmacists do not have a specific role in care of patients with AMI 68 (20.5%)
Organizational Culture  
Clinicians are encouraged to creatively solve problems related to AMI care processes.  
    Never, rarely, or sometimes 47 (13.1%)
    Usually or always 311 (86.9%)
There is good coordination among the different departments involved with the care of patients with AMI.  
    Never, rarely, or sometimes 36 (10.1%)
    Usually or always 322 (89.9%)
Clinicians caring for patients with AMI share new evidence-based approaches with the AMI team.  
    Never, rarely, or sometimes 69 (19.3%)
    Usually or always 288 (80.7%)
Departments caring for patients with AMI (e.g., cardiology, emergency medicine) communicate easily with each other.  
    Never, rarely, or sometimes 32 (9.0%)
    Usually or always 325 (91.0%)
Mistakes have led to positive changes in AMI care processes at the hospital.  
    Never, rarely, or sometimes 89 (25.1%)
    Usually or always 265 (74.9%)
  1. 1Number of missing responses ranged generally from 14 to 22, with two items that had 46 and 56 missings, respectively.