Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs

Journal of the Society for Cardiovascular Angiography & Interventions Pub Date : 2024-11-01 DOI:10.1016/j.jscai.2024.102288

Raymond M. Yau MD , Robyn Mitchell ACNP , Aasim Afzal MD , Timothy J. George MD , Syed Siddiqullah MD , Aditya S. Bharadwaj MBBS , Alexander G. Truesdell MD , Carolyn Rosner MSN, NP-C, MBA , Mir B. Basir DO , Ruth Fisher MBA , Allison Dupont MD , Carlos Leon Alviar MD , Haval Chweich MD , Navin K. Kapur MD , Rajan A.G. Patel MD , Scott Silvestry MD , Sandeep M. Patel MD , Jacob Abraham MD

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Abstract

Background

Multidisciplinary cardiogenic shock (CS) programs have been associated with improved outcomes, yet practical guidance for developing a CS program is lacking.

Methods

A survey on CS program development and operational best practices was administered to 12 institutions in diverse sociogeographic regions and practice settings. Common steps in program development were identified.

Results

Key steps for program development were identified: measuring baseline outcomes; identifying subspecialty champions; gaining leadership and team buy-in; developing institution-specific CS protocols; educating staff and referring providers; consulting with external experts; and developing quality assessment and process improvement.

Conclusions

An assessment of 12 US CS programs highlights a blueprint for establishing and maintaining a successful, multidisciplinary shock program.

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建立和维持心源性休克计划的蓝图：对 12 个美国项目的定性调查

背景多学科心源性休克（CS）项目与改善预后有关，但缺乏制定 CS 项目的实用指南。方法对不同社会地理区域和实践环境中的 12 家机构进行了 CS 项目开发和操作最佳实践调查。结果确定了项目开发的关键步骤：测量基线结果；确定亚专科冠军；获得领导层和团队的支持；制定特定机构的 CS 协议；教育员工和转诊提供者；咨询外部专家；以及制定质量评估和流程改进。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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