Improving outcomes of percutaneous coronary intervention through the application of guidelines and benchmarking: reduction of major bleeding and blood transfusion as a model.
Blood transfusions are a relatively common occurrence after performing any percutaneous coronary intervention (PCI). Although guidelines for blood transfusion have been previously specified, retrospective analysis of transfusion practices have suggested that these guidelines are rarely applied. We describe a model for the application of a continuous quality improvement program including benchmarking and available guidelines for blood transfusion, aimed toward reducing transfusion rates among patients undergoing PCI.
Chetcuti
Stanley J
SJ
University of Michigan Cardiovascular Center, Ann Arbor, Michigan 48109-5869, USA.
Grossman
Paul M
PM
Kline-Rogers
Eva M
EM
Montoye
Cecelia
C
Smith
Dean
D
Moscucci
Mauro
M
D000465:Algorithms; D015906:Angioplasty, Balloon, Coronary; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects*; D019985:Benchmarking; D001803:Blood Transfusion; D006470:Hemorrhage / Q000139:chemically induced / Q000517:prevention & control*; D006801:Humans; D017202:Myocardial Ischemia / Q000188:drug therapy / Q000628:therapy; D011183:Postoperative Complications / Q000139:chemically induced / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D014481:United States
D000925:Anticoagulants