A regional quality improvement effort to increase beta blocker administration before vascular surgery Philip P. Goodney, MD, MS, Jens Eldrup-Jorgensen,

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Presentation transcript:

A regional quality improvement effort to increase beta blocker administration before vascular surgery Philip P. Goodney, MD, MS, Jens Eldrup-Jorgensen, MD, Brian W. Nolan, MD, MS, Daniel J. Bertges, MD, Donald S. Likosky, PhD, Jack L. Cronenwett, MD Journal of Vascular Surgery Volume 53, Issue 5, Pages 1316-1328.e1 (May 2011) DOI: 10.1016/j.jvs.2010.10.131 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Control P, chart, demonstrating beta blocker administration and postoperative myocardial infarction (POMI) rate over time. Central tendency is shown in the blue line, with the red diamonds demonstrating significant change from central tendency has occurred. The red lines indicate the upper and lower control limits, while the gray lines indicate 1-sigma and 2-sigma differences from baseline. Journal of Vascular Surgery 2011 53, 1316-1328.e1DOI: (10.1016/j.jvs.2010.10.131) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Center-specific beta blockade administration, in 2003 and 2008. B, Surgeon-specific beta blockade administration, in 2003 and 2008. Journal of Vascular Surgery 2011 53, 1316-1328.e1DOI: (10.1016/j.jvs.2010.10.131) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 Rate of preoperative beta blocker use in patients not already on chronic beta blockers. Journal of Vascular Surgery 2011 53, 1316-1328.e1DOI: (10.1016/j.jvs.2010.10.131) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 4 A, Postoperative myocardial infarction (POMI) rate, by type of beta blocker use. B, POMI rate, by type of beta blocker use and cardiac risk strata. Journal of Vascular Surgery 2011 53, 1316-1328.e1DOI: (10.1016/j.jvs.2010.10.131) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Supplemental Fig 1 (online only) Correlation of observed and expected values for prediction model for postoperative myocardial infarction (POMI). Journal of Vascular Surgery 2011 53, 1316-1328.e1DOI: (10.1016/j.jvs.2010.10.131) Copyright © 2011 Society for Vascular Surgery Terms and Conditions