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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 on theme: "A regional quality improvement effort to increase beta blocker administration before vascular surgery  Philip P. Goodney, MD, MS, Jens Eldrup-Jorgensen,"— Presentation transcript:

1 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 e1 (May 2011) DOI: /j.jvs Copyright © 2011 Society for Vascular Surgery Terms and Conditions

2 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  , e1DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

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

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

5 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  , e1DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

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

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