The Challenge of Designing Key Performance Indicators for Academic Hospitals: Quality of Care for Patients with Ischemic Heart Disease

Main Article Content

Ibtisam M. Jali
Kamal W. AlGhalayini
Wesam A. Alhejily https://orcid.org/0000-0002-0650-4627
Mohammed S. Abdulwahab
Mohamed N. AlAma https://orcid.org/0000-0001-8152-7661
Hind I. Fallatah https://orcid.org/0000-0001-5043-813X
Hani A. Jawa https://orcid.org/0000-0003-4323-1661
Yousef A. Qari https://orcid.org/0000-0002-8049-8106
Salim M. Bazarah
Ahmed A. Al Johaney https://orcid.org/0000-0002-2905-2344
Siraj O. Wali https://orcid.org/0000-0002-5825-5642
Ayman K. Sanosi
Aysha A. Alshareef
Omar A. Ayoub
Abdulraheem M. Alshehri
Mohammed A. Almekhlafi
Shadi S. Alkhayyat
Atlal M. AbuSanad
Nisreen F. Bajnaid
Omar A. Fathaldin
Sami M. Bahlas
Amani M. Alhozali
Hala H. Mosli http://orcid.org/0000-0002-1227-5429
Kholoud A. Ghamri
Nawal N. Binhasher
Fatma I. Al Beladi
Hanadi M. Alhozali
Rana A. Nablawi
Mohammed A. Basheikh
Tareef Y. Al Aama https://orcid.org/0000-0002-9362-0182
Faten N. Al Zaben
Fahad E. Alsulami
Aroub A. Alkaaki

Keywords

Key performance measures, Ischemic heart disease, Outcome, Readmission, Intensive care unit transfer

Abstract

Background: This study assesses whether patients with ischemic heart disease receive comparable care and achieve similar outcomes compared to the rest of patients in the department of medicine at our tertiary academic center.


Methods: This retrospective study examined the level of care received by all patients who were admitted to the Internal Medical Services at King Abdulaziz University Hospital from January 2010 through December 2012. A number of potential performance indicators were evaluated to ascertain level of care, including clinical deterioration with unplanned intensive care unit transfers, in-hospital complications, in-hospital mortality, and the rate of 30-day readmission. The t test or Mann-Whitney U-test was used to compare means and medians, respectively. The chi-square test was used to compare categorical variables.


Results: Of 3838 patients, about a fifth of ischemic heart disease patients (19.3%) required intensive care unit transfer (P < 0.001). Patients admitted through the emergency department were the largest group to require subsequent intensive care unit transfer (65.9% of all cases). The length of stay was significantly shorter in patients admitted to the cardiac care unit, compared with those admitted to other services (3.5 [1.5] days versus 5.8 [5.5] days for patients admitted to other units; P < 0.001). Thirty-day readmission rate was significantly lower in ischemic heart disease patients (11.7%) compared with non- ischemic heart disease cases (18.5%) (P < 0.0001).


 


 

Abstract 241 | PDF Downloads 127

Most read articles by the same author(s)

1 2 > >>