Quality

Wasteful Practices in Hospital Cardiac Services Identified


 

A recent article in the American Journal of Medical Quality reviewed 366 cardiac-related medical studies and 21 practice guidelines to identify eight measures of potential waste in hospital cardiac services.4 The wasteful measures included excess use of higher-cost implantable cardioverter-defibrillators and similar cardiac devices, the use of dual-chamber defibrillators rather than single-chamber devices, and excess lengths of stay in the hospital. The eight measures were validated with data from 261 hospitals.

The authors emphasize that their set of measures is not designed to determine clinical appropriateness but to highlight areas of potential overutilization that can be benchmarked with other hospitals.


Larry Beresford is a freelance writer in San Francisco.

References

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  2. Cumbler E, Castillo L, Satorie L, et al. Culture change in infection control: applying psychological principles to improve hand hygiene. J Nurs Care Qual. 2013 May 10 [Epub ahead of print].
  3. Bernhard B. High tech hand washing comes to St. Louis hospital. St. Louis Post-Dispatch website. Available at: http://www.stltoday.com/lifestyles/health-med-fit/health/high-tech-hand-washing-comes-to-st-louis-hospital/article_9379065d-85ff-5643-bae2-899254cb22fa.html. Accessed June 27, 2013.
  4. Lowe TJ, Partovian C, Kroch E, Martin J, Bankowitz R. Measuring cardiac waste: the Premier cardiac waste measures. Am J Med Qual. 2013 May 29 [Epub ahead of print].
  5. Elixhauser A, Steiner C. Readmissions to U.S. hospitals by diagnosis, 2010. Healthcare Cost and Utilization Project website. Available at: http://www.hcup-us.ahrq.gov/reports/statbriefs/sb153.pdf. Accessed July 15, 2013.
  6. Jackson Healthcare. Filling the void: 2013 physician outlook & practice trends. Jackson Healthcare website. Available at: http://www.jacksonhealthcare.com/media/193525/jc-2013physiciantrends-void_ebk0513.pdf. Accessed July 15, 2013.

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