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