American heart journal
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American heart journal · Jan 2015
Randomized Controlled Trial Comparative StudyTargeted versus standard feedback: results from a randomized quality improvement trial.
Quality improvement is central to improving the care of patients with cardiovascular disease; however, the optimum type of data feedback to support such efforts is unknown. ⋯ We were unable to demonstrate that targeted performance feedback reports lead to more rapid care improvements than standard reports. Future directions should explore the relationship between hospital self-selection of targeted metrics and the identification and promulgation of less common metrics--particularly those that reflect processes of care.
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American heart journal · Jan 2015
Impact of drug-eluting stents on the comparative effectiveness of coronary artery bypass surgery and percutaneous coronary intervention.
Drug-eluting stents (DES) have largely replaced bare-metal stents (BMS) for percutaneous coronary intervention (PCI). It is uncertain, however, whether introduction of DES had a significant impact on the comparative effectiveness of PCI versus coronary artery bypass graft surgery (CABG) for death and myocardial infarction (MI). ⋯ The introduction of DES did not alter the comparative effectiveness of CABG and PCI with respect to hard cardiac outcomes.