A PHP Error was encountered

Severity: Warning

Message: file_get_contents(https://...@gmail.com&api_key=61f08fa0b96a73de8c900d749fcb997acc09): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests

Filename: helpers/my_audit_helper.php

Line Number: 143

Backtrace:

File: /var/www/html/application/helpers/my_audit_helper.php
Line: 143
Function: file_get_contents

File: /var/www/html/application/helpers/my_audit_helper.php
Line: 209
Function: simplexml_load_file_from_url

File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3098
Function: getPubMedXML

File: /var/www/html/application/controllers/Detail.php
Line: 574
Function: pubMedSearch_Global

File: /var/www/html/application/controllers/Detail.php
Line: 488
Function: pubMedGetRelatedKeyword

File: /var/www/html/index.php
Line: 316
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: Attempt to read property "Count" on bool

Filename: helpers/my_audit_helper.php

Line Number: 3100

Backtrace:

File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3100
Function: _error_handler

File: /var/www/html/application/controllers/Detail.php
Line: 574
Function: pubMedSearch_Global

File: /var/www/html/application/controllers/Detail.php
Line: 488
Function: pubMedGetRelatedKeyword

File: /var/www/html/index.php
Line: 316
Function: require_once

Establishment of a national quality improvement process on oxygen delivery index during cardiopulmonary bypass. | LitMetric

AI Article Synopsis

  • Targeted oxygen delivery during cardiopulmonary bypass (CPB) is important for improving patient outcomes and preventing kidney injury, but its implementation varies among hospitals.
  • This study developed a quality improvement process to standardize oxygen delivery metrics, specifically using the oxygen delivery index (DOi), across 91 hospitals in the U.S. between 2020 and 2022.
  • Results showed a positive trend in achieving the target DOi, with 70.8% of measurements meeting standards, and highlighted obstacles like inadequate CPB flow rates and strict blood transfusion policies as barriers to improvement.

Article Abstract

Targeted oxygen delivery during cardiopulmonary bypass (CPB) has received significant attention due to its influence on patient outcomes, especially in mitigating acute kidney injury. While it has gained popularity in select institutions, there remains a gap in establishing it globally across multiple centers. The purpose of this investigation was to describe the development of a quality improvement process of targeted oxygen delivery during CPB across hospitals throughout the United States. A systematic approach to utilize oxygen delivery index (DOi) as a key performance indicator within hospitals serviced by a national provider of perfusion services. The process included a review of the current literature on DOi, which yielded a target nadir value (272 mL/min/m) and an area under the curve (DOiAUC) cut off of 632. All data is displayed on a dashboard with results categorized across multiple levels from system-wide to individual clinician performance. From January 2020 through December 2022, DOi data from 91 hospitals and 11,165 coronary artery bypass graft procedures were collected. During this period the monthly proportion of DOi measurements above the target nadir DOi ranged from 60.5% to 78.4% with a mean+/-SD of 70.8 +/- 4.2%. Binary logistic regression for the first 7 months following monthly DOi performance reporting has shown a statistically significant positive linear trend in the probability of achieving the target DOi ( < .001), with a crude increase of approximately 7.8% for DOiAUC, and a 73.8% success rate ( < .001). A survey was sent to all individuals measuring oxygen delivery during CPB to assess why a target DOi could not be reached. The two most common responses were an 'inability to improve CPB flow rates' and 'restrictive allogeneic red blood cell transfusion policies'. This study demonstrates that targeting a minimum level of oxygen delivery can serve as a key performance indicator during CPB using a structured quality improvement process.

Download full-text PDF

Source
http://dx.doi.org/10.1177/02676591231198366DOI Listing

Publication Analysis

Top Keywords

oxygen delivery
24
quality improvement
12
improvement process
12
delivery cardiopulmonary
8
cardiopulmonary bypass
8
targeted oxygen
8
delivery cpb
8
doi
8
key performance
8
performance indicator
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!

A PHP Error was encountered

Severity: Notice

Message: fwrite(): Write of 34 bytes failed with errno=28 No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 272

Backtrace:

A PHP Error was encountered

Severity: Warning

Message: session_write_close(): Failed to write session data using user defined save handler. (session.save_path: /var/lib/php/sessions)

Filename: Unknown

Line Number: 0

Backtrace: