UAB Cardiothoracic Surgery Annual Report 2015-16 UAB Medicine Cardiothoracic Surgery 2015/16 Annual | Page 44
QUALITY
A focused and dedicated cardiothoracic surgery peer review Quality, Mortality &
Morbidity Conference has contributed to UAB Cardiovascular Surgery’s decreasing
O/E mortality ratio, as measured by the University HealthSystem Consortium
(UHC).
University HealthSystem Consortium Cardiovascular Surgery: 2012 – 2015
1.5
1.33
1.22
1.15
1.0
0.87
0.71
0.5
0
JAN-JUNE / JULY-DEC
2012
JAN-JUNE / JULY-DEC
2013
0.76
0.54
JAN-JUNE / JULY-DEC
2014
0.71
JAN-JUNE / JULY-DEC
2015
A multidisciplinary approach in implementing strategies to improve outcomes and patient care has produced
excellent outcomes in all areas of cardiac surgery. Isolated CABG prolonged ventilation hours (>24 hours)
decreased from 16.0% in 2009 to 3.6% in 2015. This trend has enabled patients to be transitioned from the
ICU more efficiently. Ventilation hours and other quality metrics are reported monthly at the Quality, Mortality
& Morbidity Conference.
Isolated CABG % Prolonged Ventilation: 2009 – 2015
20%
16%
N = 51
16.7%
N = 51
10.9%
N = 32
15%
10%
7.1%
N = 21
5.9%
N = 18
2012
2013
5%
2.6%
N=7
3.6%
N = 12
0%
2009
2010
2011
2014
2015
UAB’s prolonged ventilation for isolated CABG rate is below the STS benchmark of 7.9%. (Source: Society of
Thoracic Surgeons (STS) National Adult Cardiac Surgery Database, 2015 Harvest #3 period ended 6/30/2015)
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Cardiothoracic Surgery Annual Report