title: Improving Indicators in a Brazilian Hospital Through Quality-Improvement Programs Based on STS Database Reports.
abstract: OBJECTIVE
  To report the initial changes after quality-improvement programs based on STS-database in a Brazilian hospital.
  
  
  METHODS
  Since 2011 a Brazilian hospital has joined STS-Database and in 2012 multifaceted actions based on STS reports were implemented aiming reductions in the time of mechanical ventilation and in the intensive care stay and also improvements in evidence-based perioperative therapies among patients who underwent coronary artery bypass graft surgeries.
  
  
  RESULTS
  All the 947 patients submitted to coronary artery bypass graft surgeries from July 2011 to June 2014 were analyzed and there was an improvement in all the three target endpoints after the implementation of the quality-improvement program but the reduction in time on mechanical ventilation was not statistically significant after adjusting for prognostic characteristics.
  
  
  CONCLUSIONS
  The initial experience with STS registry in a Brazilian hospital was associated with improvement in most of targeted quality-indicators.
authors.affiliation: Amil Chronic Diseases Management Unit, Totalcor, São Paulo, SP, Brazil.
authors.forename: Pedro Gabriel Melo de
authors.initials: PG
authors.lastname: Barros e Silva
authors.affiliation: Amil Chronic Diseases Management Unit, Totalcor, São Paulo, SP, Brazil.
authors.forename: Antônio Claudio do Amaral
authors.initials: AC
authors.lastname: Baruzzi
authors.affiliation: Amil Chronic Diseases Management Unit, Totalcor, São Paulo, SP, Brazil.
authors.forename: Denise Louzada
authors.initials: DL
authors.lastname: Ramos
authors.affiliation: Amil Chronic Diseases Management Unit, Totalcor, São Paulo, SP, Brazil.
authors.forename: Mariana Yumi
authors.initials: MY
authors.lastname: Okada
authors.affiliation: Amil Chronic Diseases Management Unit, Totalcor, São Paulo, SP, Brazil.
authors.forename: José Carlos Teixeira
authors.initials: JC
authors.lastname: Garcia
authors.affiliation: Amil Chronic Diseases Management Unit, Totalcor, São Paulo, SP, Brazil.
authors.forename: Fernanda de Andrade
authors.initials: Fde A
authors.lastname: Cardoso
authors.affiliation: Amil Chronic Diseases Management Unit, Totalcor, São Paulo, SP, Brazil.
authors.forename: Marcelo Jamus
authors.initials: MJ
authors.lastname: Rodrigues
authors.affiliation: Amil Chronic Diseases Management Unit, Totalcor, São Paulo, SP, Brazil.
authors.forename: Valter
authors.initials: V
authors.lastname: Furlan
mesh_terms: D019985:Benchmarking / Q000706:statistics & numerical data; D001938:Brazil; D001026:Coronary Artery Bypass; D016208:Databases, Factual; D019317:Evidence-Based Medicine / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D058996:Quality Improvement / Q000706:statistics & numerical data*; D019984:Quality Indicators, Health Care / Q000706:statistics & numerical data*; D012121:Respiration, Artificial / Q000706:statistics & numerical data; D012955:Societies, Medical; D013903:Thoracic Surgery / Q000592:standards; D014481:United States