QI measures increased evidence based therapies and reduced LOS for HF patients
Clinical Question
Does a national hospital-based quality initiative improve care in patients admitted with heart failure? (HF)Clinical Question
Bottom Line
Quality improvement tools improved adherence to HF treatment guidelines, which reduced length of stay and showed benefits in short-term mortality. (LOE = 2b)Bottom Line
Reference
Fonarow GC, Abraham WT, Albert NM, et al. Influence of a performance-improvement initiative on quality of care for patients hospitalized with heart failure. Results of the Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients with Heart Failure (OPTIMIZE-HF). Arch Intern Med 2007;167:1493-1502. [PMID:17646603]Reference
Study Design
Cohort (prospective)Study Design
Funding
IndustryFunding
Setting
Inpatient (any location) with outpatient follow-upSetting
Synopsis
OPTIMIZE-HF is a national hospital based quality improvement initiative aimed to improve adherence to evidence based guidelines and performance measures for patients hospitalized with HF. The program includes a hospital tool kit, quality-of-care reports, and educational initiatves. Data was submitted from 259 centers on 48,612 patients admitted with decompensated systolic or diastolic HF from the beginning of 2003 through 2004.. After implementation of the OPTIMIZE-HF program, adherence to recommended inpatient HF therapies significantly increased. Compliance with use of B-blockers, but not angiotensin converting enzyme inhibitors, at discharge was also improved. Mean length of stay decreased from 7.5 to 6.2 days (p < 0.001). The improvement in in-hospital mortality did not reach statistical significance (p = 0.06)Synopsis
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Citation
Barry, Henry, et al., editors. "QI Measures Increased Evidence Based Therapies and Reduced LOS for HF Patients." EE+ POEM Archive, John Wiley & Sons, 2019. Evidence Central, evidence.unboundmedicine.com/evidence/view/infoPOEMs/426493/all/QI_measures_increased_evidence_based_therapies_and_reduced_LOS_for_HF_patients.
QI measures increased evidence based therapies and reduced LOS for HF patients. In: Barry HH, Ebell MHM, Shaughnessy AFA, et al, eds. EE+ POEM Archive. John Wiley & Sons; 2019. https://evidence.unboundmedicine.com/evidence/view/infoPOEMs/426493/all/QI_measures_increased_evidence_based_therapies_and_reduced_LOS_for_HF_patients. Accessed April 2, 2023.
QI measures increased evidence based therapies and reduced LOS for HF patients. (2019). In Barry, H., Ebell, M. H., Shaughnessy, A. F., & Slawson, D. C. (Eds.), EE+ POEM Archive. John Wiley & Sons. https://evidence.unboundmedicine.com/evidence/view/infoPOEMs/426493/all/QI_measures_increased_evidence_based_therapies_and_reduced_LOS_for_HF_patients
QI Measures Increased Evidence Based Therapies and Reduced LOS for HF Patients [Internet]. In: Barry HH, Ebell MHM, Shaughnessy AFA, Slawson DCD, editors. EE+ POEM Archive. John Wiley & Sons; 2019. [cited 2023 April 02]. Available from: https://evidence.unboundmedicine.com/evidence/view/infoPOEMs/426493/all/QI_measures_increased_evidence_based_therapies_and_reduced_LOS_for_HF_patients.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - QI measures increased evidence based therapies and reduced LOS for HF patients
ID - 426493
ED - Barry,Henry,
ED - Ebell,Mark H,
ED - Shaughnessy,Allen F,
ED - Slawson,David C,
BT - EE+ POEM Archive
UR - https://evidence.unboundmedicine.com/evidence/view/infoPOEMs/426493/all/QI_measures_increased_evidence_based_therapies_and_reduced_LOS_for_HF_patients
PB - John Wiley & Sons
DB - Evidence Central
DP - Unbound Medicine
ER -