Document Detail


Reducing case fatality from acute myocardial infarction in cienfuegos, cuba, 1994-2009.
MedLine Citation:
PMID:  23154313     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Between 1994 and 2009, the Dr Gustavo Aldereguía University Hospital of Cienfuegos, Cuba implemented a series of interventions that reduced acute myocardial infarction case fatality rate from 47% to 15%. These interventions were part of an institutional plan for myocardial infarction included in the hospital's overall quality assurance strategy. Outcomes resulted primarily from organizational changes (from upgrading of the hospital emergency department and provincial emergency system to creation of a comprehensive coronary care unit and a chest pain center); optimizing use of effective drugs (streptokinase, aspirin, ACE inhibitors and beta blockers); adherence to clinical practice guidelines; and continual and participatory evaluation and adjustment. KEYWORDS Acute myocardial infarction, hospital mortality, case fatality rate, health care quality assurance, management quality circles, institutional practice, guideline adherence, clinical practice guideline.
Authors:
Víctor René Navarro; Arelys Falcón; Marcos D Iraola; Francisco Valladares; Pedro O Ordúñez
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  MEDICC review     Volume:  14     ISSN:  1527-3172     ISO Abbreviation:  MEDICC Rev     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-11-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100964771     Medline TA:  MEDICC Rev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  14-8     Citation Subset:  IM    
Affiliation:
Dr Gustavo Aldereguía Lima University General Hospital (HGAL), Cienfuegos, Cuba. victor.navarro@gal.sld.cu.
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