2012
Hospitalist utilization and hospital performance on 6 publicly reported patient outcomes
Goodrich K, Krumholz HM, Conway PH, Lindenauer P, Auerbach AD. Hospitalist utilization and hospital performance on 6 publicly reported patient outcomes. Journal Of Hospital Medicine 2012, 7: 482-488. PMID: 22689448, PMCID: PMC3531241, DOI: 10.1002/jhm.1943.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionPercentage of patientsHeart failurePatient outcomesOutcome measuresPresence of hospitalistsReadmission measuresCongestive heart failureCross-sectional studyMultivariable regression modelsComparison of hospitalQuality outcome measuresReadmission ratesIndependent predictorsMyocardial infarctionInpatient careHospitalist serviceHospitalist useMedical conditionsHospital personnelHospitalist programHospitalistsHospitalExpectation of improvementOutcomesBuilding Hospital Management Capacity to Improve Patient Flow for Cardiac Catheterization at a Cardiovascular Hospital in Egypt
Wong R, Hathi S, Linnander EL, Banna A, Maraghi M, Din R, Ahmed A, Hafez AR, Allam AA, Krumholz HM, Bradley EH. Building Hospital Management Capacity to Improve Patient Flow for Cardiac Catheterization at a Cardiovascular Hospital in Egypt. The Joint Commission Journal On Quality And Patient Safety 2012, 38: 147-153. PMID: 22533126, PMCID: PMC3427659, DOI: 10.1016/s1553-7250(12)38019-7.Peer-Reviewed Original ResearchConceptsCardiac catheterizationPre-post intervention studyPercentage of patientsPatient flowPre-intervention periodNational Heart InstituteCatheterization laboratory proceduresResource-limited settingsSubset of proceduresTotal patientsConsecutive patientsMiddle-income countriesCardiovascular HospitalPostintervention periodHeart InstituteHospital careHigh-income countriesQI interventionsPatientsCatheterization proceduresIntervention studiesCatheterizationPatient crowdingWard unitSignificant reduction
2011
Improvements in Door-to-Balloon Time in the United States, 2005 to 2010
Krumholz HM, Herrin J, Miller LE, Drye EE, Ling SM, Han LF, Rapp MT, Bradley EH, Nallamothu BK, Nsa W, Bratzler DW, Curtis JP. Improvements in Door-to-Balloon Time in the United States, 2005 to 2010. Circulation 2011, 124: 1038-1045. PMID: 21859971, PMCID: PMC3598634, DOI: 10.1161/circulationaha.111.044107.Peer-Reviewed Original ResearchConceptsPrimary percutaneous coronary interventionPercutaneous coronary interventionBalloon timeCoronary interventionMedian timeST-segment elevation myocardial infarctionHigher median timeCharacteristics of patientsPercentage of patientsTimeliness of treatmentYears of ageRegistry studyMyocardial infarctionInpatient measuresPatientsHospital groupMedicaid ServicesCalendar yearInterventionMinutesMedianGroupYearsPercentageInfarction
2009
Door-to-Balloon Times in Hospitals Within the Get-With-The-Guidelines Registry After Initiation of the Door-to-Balloon (D2B) Alliance
Nallamothu BK, Krumholz HM, Peterson ED, Pan W, Bradley E, Stern AF, Masoudi FA, Janicke DM, Hernandez AF, Cannon CP, Fonarow GC, Investigators D. Door-to-Balloon Times in Hospitals Within the Get-With-The-Guidelines Registry After Initiation of the Door-to-Balloon (D2B) Alliance. The American Journal Of Cardiology 2009, 103: 1051-1055. PMID: 19361588, DOI: 10.1016/j.amjcard.2008.12.030.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionPrimary percutaneous coronary interventionD2B AlliancePercentage of patientsGWTG-CADBalloon timeST-elevation myocardial infarctionNational quality improvement effortsQuality improvement effortsBalloon (D2B) AllianceDTB timeNontransferred patientsCoronary interventionPatient characteristicsMyocardial infarctionMultivariable modelAmerican CollegePatientsDisease programsHospitalStudy periodSignificant differencesHospital performanceMinutesImprovement efforts
1997
Quality of Care for Elderly Patients Hospitalized With Heart Failure
Krumholz HM, Wang Y, Parent EM, Mockalis J, Petrillo M, Radford MJ. Quality of Care for Elderly Patients Hospitalized With Heart Failure. JAMA Internal Medicine 1997, 157: 2242-2247. PMID: 9343001, DOI: 10.1001/archinte.1997.00440400092011.Peer-Reviewed Original ResearchConceptsHeart failureQuality of careEnzyme inhibitorsElderly patientsClinical practiceResearch Clinical Practice GuidelinesLeft ventricular ejection fractionLeft ventricular systolic functionRetrospective medical record reviewAngiotensin-converting enzyme inhibitorSevere aortic stenosisPercentage of patientsVentricular systolic functionMedical record reviewVentricular ejection fractionClinical practice guidelinesPrincipal discharge diagnosisAcute care hospitalsActual clinical practiceHealth care policyChart reviewSystolic functionAortic stenosisAppropriate patientsCare hospital
1995
Quality of Care for Medicare Patients With Acute Myocardial Infarction: A Four-State Pilot Study From the Cooperative Cardiovascular Project
Ellerbeck E, Jencks S, Radford M, Timothy F, Craig A, Gold J, Krumholz H, Vogel R. Quality of Care for Medicare Patients With Acute Myocardial Infarction: A Four-State Pilot Study From the Cooperative Cardiovascular Project. JAMA 1995, 273: 1509-1514. DOI: 10.1001/jama.1995.03520430045037.Peer-Reviewed Original ResearchAcute myocardial infarctionQuality of careMedicare patientsMyocardial infarctionΒ-blockersRetrospective medical record reviewPercentage of patientsMedical record reviewClinical practice guidelinesCooperative Cardiovascular ProjectAcute care hospitalsHealth care professionalsPrimary hospitalizationInitial hospitalizationCare hospitalRecord reviewStandard treatmentAMI careCare indicatorsPrincipal diagnosisPractice guidelinesAMI therapyHospitalizationCare professionalsPatientsQuality of care for Medicare patients with acute myocardial infarction. A four-state pilot study from the Cooperative Cardiovascular Project.
Ellerbeck EF, Jencks SF, Radford MJ, Kresowik TF, Craig AS, Gold JA, Krumholz HM, Vogel RA. Quality of care for Medicare patients with acute myocardial infarction. A four-state pilot study from the Cooperative Cardiovascular Project. JAMA 1995, 273: 1509-14. PMID: 7739077, DOI: 10.1001/jama.273.19.1509.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionQuality of careMedicare patientsMyocardial infarctionRetrospective medical record reviewPercentage of patientsMedical record reviewClinical practice guidelinesCooperative Cardiovascular ProjectAcute care hospitalsHealth care professionalsPrimary hospitalizationInitial hospitalizationCare hospitalRecord reviewStandard treatmentAMI careCare indicatorsPrincipal diagnosisPractice guidelinesAMI therapyMAIN OUTCOMEHospitalizationCare professionalsPatients
1994
Relationship of Age with Eligibility for Thrombolytic Therapy and Mortality Among Patients with Suspected Acute Myocardial Infarction
Krumholz H, Friesinger G, Cook E, Lee T, Rouan G, Goldman L. Relationship of Age with Eligibility for Thrombolytic Therapy and Mortality Among Patients with Suspected Acute Myocardial Infarction. Journal Of The American Geriatrics Society 1994, 42: 127-131. PMID: 8126322, DOI: 10.1111/j.1532-5415.1994.tb04938.x.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionEmergency departmentMyocardial infarctionThrombolytic therapyElderly patientsRelationship of agePain studiesEligible elderly patientsLateral chest painOnset of painPercentage of patientsProspective cohort studyFrequency of patientsPathologic Q wavesST-segment elevationMyocardial infarction patientsInvestigation of patientsCurrent eligibility criteriaChest painCohort studyAcute infarctionChief complaintLocal traumaInfarction patientsUniversity Hospital