Proactive risk mitigation for cardiac arrest prevention in high-risk patients with congenital heart disease.

ABSTRACT:

Objective

The prevalence of postoperative cardiac arrest (CA) increases with cardiothoracic surgical case complexity and is associated with a 40% to 50% mortality. Despite having a low overall surgical mortality rate at our center, our postoperative CA rates were higher than expected, with an observed-to-expected ratio of 2.6. Utilizing quality improvement methodology, we evaluated the influence of proactive risk mitigation on postprocedure CA in a high-risk cohort of pediatric cardiac patients.

Methods

This single-center study utilized the Institute for Healthcare Improvement model. We created and implemented our Proactive Mitigation to Decrease Serious Adverse Events program in July 2020, prospectively enrolling preidentified high-risk patients. Enrolled patients underwent

SUBMITTER: Cosgrove TC 

PROVIDER: S-EPMC10091213 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature