Reducing case fatality from acute myocardial infarction in Cienfuegos, Cuba, 1994-2009.
MEDICC Rev
; 14(4): 14-8, 2012 10.
Article
em En
| MEDLINE
| ID: mdl-23154313
Between 1994 and 2009, the Dr Gustavo Aldereguía University Hospital of Cienfuegos, Cuba implemented a series of interventions that reduced acute myocardial infarction case fatality rate from 47% to 15%. These interventions were part of an institutional plan for myocardial infarction included in the hospital's overall quality assurance strategy. Outcomes resulted primarily from organizational changes (from upgrading of the hospital emergency department and provincial emergency system to creation of a comprehensive coronary care unit and a chest pain center); optimizing use of effective drugs (streptokinase, aspirin, ACE inhibitors and beta blockers); adherence to clinical practice guidelines; and continual and participatory evaluation and adjustment.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Garantia da Qualidade dos Cuidados de Saúde
/
Mortalidade Hospitalar
/
Infarto do Miocárdio
Tipo de estudo:
Guideline
Limite:
Humans
País/Região como assunto:
Caribe
/
Cuba
Idioma:
En
Revista:
MEDICC Rev
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Cuba
País de publicação:
Estados Unidos