Brazilian Journal of Cardiovascular Surgery (Dec 2015)

Improving Indicators in a Brazilian Hospital Through Quality-Improvement Programs Based on STS Database Reports

  • Pedro Gabriel Melo de Barros e Silva,
  • Antônio Claudio do Amaral Baruzzi,
  • Denise Louzada Ramos,
  • Mariana Yumi Okada,
  • José Carlos Teixeira Garcia,
  • Fernanda de Andrade Cardoso,
  • Marcelo Jamus Rodrigues,
  • Valter Furlan

DOI
https://doi.org/10.5935/1678-9741.20150075
Journal volume & issue
Vol. 30, no. 6
pp. 660 – 663

Abstract

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ABSTRACT OBJECTIVE: To report the initial changes after quality-improvement programs based on STS-database in a Brazilian hospital. METHODS: Since 2011 a Brazilian hospital has joined STS-Database and in 2012 multifaceted actions based on STS reports were implemented aiming reductions in the time of mechanical ventilation and in the intensive care stay and also improvements in evidence-based perioperative therapies among patients who underwent coronary artery bypass graft surgeries. RESULTS: All the 947 patients submitted to coronary artery bypass graft surgeries from July 2011 to June 2014 were analyzed and there was an improvement in all the three target endpoints after the implementation of the quality-improvement program but the reduction in time on mechanical ventilation was not statistically significant after adjusting for prognostic characteristics. CONCLUSION: The initial experience with STS registry in a Brazilian hospital was associated with improvement in most of targeted quality-indicators.

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