ArticleJournal of the American Heart Association2020
A Failed Cardiac Surgery Program in an Underserved Minority Population County Reimagined: The Power of Partnership.
Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Development of nursing quality evaluation indicators system for pressure injury in orthopedics based on the Donabedian model: a Delphi study.BMC nursing · 2025Article
- Building a Smart Hospital Cardiovascular Surgery Program: Lessons from the Ground Up.Methodist DeBakey cardiovascular journal · 2025Review
- A Failed Cardiac Surgery Program in an Underserved Minority Population County Reimagined: The Power of Partnership.Journal of the American Heart Association · 2020Article
- Trusting the "Process" to Revitalize a Cardiac Surgery Program.Journal of the American Heart Association · 2020Article
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9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Prince George's County Maryland, historically a medically underserved region, has a population of 909 327 and a high incidence of cardiometabolic syndrome and hypertension. Application of level I evidence practices in such areas requires the availability of highly advanced cardiovascular interventions. Donabedian principles of quality of care were applied to a failing cardiac surgery program. We hypothesized that a multidisciplinary application of this model supported by partnership with a university hospital system could result in improved quality care outcomes. Methods and Results A 6-month assessment and planning process commenced in July 2014. Preoperative, intraoperative, and postoperative protocols were developed before program restart. Staff education and training was conducted via team simulation and rehearsal sessions. A total of 425 patients underwent cardiac surgical procedures. Quality tracking of key performance measures was conducted, and 323 isolated coronary artery bypass grafting procedures were performed from July 2014 to December 2019. Key risk factors in our patient demographic were higher than the Society of Thoracic Surgeons national mean. Risk-adjusted outcome data yielded a mortality rate of 0.3% versus 2.2% nationally. The overall major complication rate was lower than expected at 7.1% compared with 11.5% nationally. Readmission rate was less than the Society of Thoracic Surgeons mean for isolated coronary artery bypass grafting (4.0% versus 10.1%,
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