Affiliation:
1. Uniformed Services University of the Health Sciences & the Walter Reed National Military Medical Center, Bethesda, MD
2. Washington Adventist Hospital, Takoma Park, MD
Abstract
Although there is a clear volume–outcome relationship in the field of cardiac surgery, the existence of high-performing programs with relatively low case volumes is well established. This report describes the programmatic and institutional processes in place at a lower volume cardiac surgery center in a US military hospital, which have been executed to optimally leverage available resources in the delivery of exemplary patient care. By implementing a highly collaborative practice, rigorous outcomes review, evidence-based standardized care pathways, consistent attending surgeon oversight for care delivery, careful case selection, and a mechanism for support from highly experienced outside cardiac surgeons, the cardiac surgery program at the authors’ institution delivers care on par with its higher volume counterparts. A review of these practices and available supporting evidence may provide a model for other programs seeking success in this setting.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Cited by
3 articles.
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