Design doll review program
Reviewers made recommendations to improve operator performance in 63 cases (41.4%) and catheterization laboratory or hospital processes in 58 (38.2%).Ĭonclusions and Relevance While substandard care is infrequently identified in peer review of catheterization laboratory complications in the Department of Veterans Affairs, the process often generates recommendations for quality improvement. Concerns about operator judgment were identified in 46 cases (30.3%), about case selection in 26 (17.1%), about trainee supervision in 21 (13.8%), and about technical performance in 46 (30.3%). Of 152 cases with complete peer review data, care was adjudicated as not meeting the standard of care in 25 cases (16.4%). Of these, 168 (0.1%) were triggered for review because of a self-reported major adverse event during the procedure. Results A total of 196 643 diagnostic coronary angiograms and 62 576 percutaneous coronary interventions were performed in the Department of Veterans Affairs. Main Outcomes and Measures Percentage of peer reviews reporting substandard care and opportunities for quality improvement. Data review and analysis took place from November 2017 to August 2018. Objective To characterize the quality improvement content of cardiac catheterization peer reviews.ĭesign, Setting, and Participants This quality improvement study used retrospective case review of diagnostic angiography and percutaneous coronary intervention procedures to characterize the major adverse event review process of the US Department of Veterans Affairs Clinical Assessment, Reporting, and Tracking (CART) program from January 1, 2012, to December 31, 2016. Importance Peer review is recommended for quality assessment in all cardiac catheterization programs, but, to our knowledge, the content of peer reviews and the potential for quality improvement has not been described. Shared Decision Making and Communication.
![design doll review program design doll review program](https://i.pinimg.com/originals/1d/a3/d9/1da3d98a9285ecc2c2206fe6c7a45170.jpg)
![design doll review program design doll review program](https://www.littledressupshop.com/assets/images/ava-charity-doll-dress-for-girls-2020.jpg)
Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.