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Recent studies have shown increasing inappropriate use of cardiovascular procedures. At our institution, we established a peer review process to evaluate appropriate use criteria (AUC) of cardiac catheterization. We sought to evaluate the appropriateness of procedures performed before and after the peer review became a reality.
Using the East Carolina Heart Institute's Cath PCI Registry database, we analyzed the appropriateness of procedures performed in our cardiac catheterization laboratories for 2 quarters prior and for 2 quarters after starting the peer review process. Total number of patients were 1474.
Appropriateness of procedures both for acute coronary syndrome and non-acute coronary syndrome patients improved with peer review process.
Internal peer review process at East Carolina Heart Institute has improved the adherence to appropriateness use criteria in the cardiac catheterization laboratory and reduced inappropriate device use.
|Variable||2011 Q3 n=370||2011 Q4 n=357||2012 Q1 n=378||2012 Q2 n=369|
|PCI procedure not classifiable for AUC reporting||6.1||5.9||4.1||3.5|
|Appropriateness in ACS||93.7||94.1||95.5||95.9|
|Inappropriate PCI in ACS||1.2||0.4||0.4||0.3|
|Appropriate PCI in non-ACS||27.5||20.6||47.7||45|
|Uncertain appropriate PCI in non-ACS||52.2||58.8||41.5||40|
|Inappropriate PCI in non-ACS||20.3||20.6||10.8||15|
Poster Sessions, Expo North
Saturday, March 09, 2013, 3:45 p.m.-4:30 p.m.
Session Title: Common Cardiac Procedures: Appropriate Use, Outcomes and Education
Abstract Category: 22. Performance Improvement
Presentation Number: 1174-274
- 2013 American College of Cardiology Foundation