Healthcare quality improvement for cardiovascular surgery in China: basic concepts and current status_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHAO Yan ¹ , GU Dachuan ² ,  ZHENG Zhe ²

1. National Clinical Research Center for Cardiovascular Diseases, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, 100037, P.R.China;
2. Department of Cardiovascular Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences, National Center for Cardiovascular Diseases, Beijing, 100037, P.R.China;

Corresponding author：

ZHENG Zhe, Email: zhengzhe@fuwai.com

Keywords：

Quality improvement; cardiovascular surgery; medical practice

DOI：

10.7507/1007-4848.201909033

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Facing the increasing cardiovascular disease burden and prevailing population risk factors, the cardiovascular surgery in China was also encountering challenges including imbalances in discipline development, significant divergencies in healthcare quality, lacking of clinical guidelines and domestic critical evidence. The concept of quality control and improvement has been practiced and tested in many disease specialties. Quality improvement programs are urgently needed in China to promote the universal cardiovascular surgery healthcare quality.

Citation： ZHAO Yan, GU Dachuan, ZHENG Zhe. Healthcare quality improvement for cardiovascular surgery in China: basic concepts and current status. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(11): 1049-1053. doi: 10.7507/1007-4848.201909033 Copy

1.	Yang G, Wang Y, Zeng Y, et al. Rapid health transition in China, 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet, 2013, 381(9882): 1987-2015.
2.	Watts J. Chen Zhu: from barefoot doctor to China's Minister of Health. Lancet, 2008, 372(9648): 1455.
3.	Institute of Medicine (US) Committee on Quality of Health Care in America; Editors: Linda T. Kohn LT, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Health System. Washington (DC): National Academies Press, 2000. 1-312.
4.	Poisal JA, Truffer C, Smith S, et al. Health Spending Projections Through 2016: modest changes obscure part D's impact: as health care spending trends remain stable, the medicare drug benefit changes who pays the bill. Health Affairs, 2007, 26(Suppl2): w242-w53.
5.	Krumholz HM. Outcomes research: generating evidence for best practice and policies. Circulation, 2008, 118(3): 309-318.
6.	Kosiborod M, Spertus JA. Careers in cardiovascular outcomes research. Circulation, 2009, 120(1): 76-81.
7.	Antoniucci D, Valenti R, Migliorini A, et al. Relation of time to treatment and mortality in patients with acute myocardial infarction undergoing primary coronary angioplasty. Am J Cardiol, 2002, 89(11): 1248-1252.
8.	Berger PB, Ellis SG, Holmes DR, Jr., et al Relationship between delay in performing direct coronary angioplasty and early clinical outcome in patients with acute myocardial infarction: results from the global use of strategies to open occluded arteries in Acute Coronary Syndromes (GUSTO-IIb) trial. Circulation, 1999, 100(1): 14-20.
9.	McNamara RL, Wang Y, Herrin J, et al. Effect of door-to-balloon time on mortality in patients with ST-segment elevation myocardial infarction. J Am Coll Cardiol, 2006, 47(11): 2180-2186.
10.	Antman EM, Anbe DT, Armstrong PW, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction--executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1999 guidelines for the management of patients with acute myocardial infarction). J Am Coll Cardiol, 2004, 44(3): 671-719.
11.	Krumholz HM, Bradley EH, Nallamothu BK, et al. A campaign to improve the timeliness of primary percutaneous coronary intervention. door-to-balloon: an alliance for quality. JACC, 2008, 1(1): 97-104.
12.	Bradley EH, Roumanis SA, Radford MJ, et al. Achieving door-to-balloon times that meet quality guidelines: How do successful hospitals do it? J Am Coll Cardiol, 2005, 46(7): 1236-1241.
13.	Nallamothu BK, Bradley EH, Krumholz HM. Time to treatment in primary percutaneous coronary intervention. N Engl J Med, 2007, 357(16): 1631-1638, 578.
14.	Rao C, Zhang H, Gao H, et al. The Chinese cardiac surgery registry: Design and data audit. Ann Thorac Surg, 2016, 101(4): 1514-1520.
15.	Yuan X, Zhang H, Zheng Z, et al. Trends in mortality and major complications for patients undergoing coronary artery bypass grafting among urban teaching hospitals in China: 2004 to 2013. Eur Heart J Qual Care Clin Outcomes, 2017, 3(4): 312-318.
16.	Zheng Z, Zhang H, Yuan X, et al. Comparing outcomes of coronary artery bypass grafting among large teaching and urban hospitals in China and the United States. Circ Cardiovasc Qual Outcomes, 2017, 10(6): e003327.

1. Yang G, Wang Y, Zeng Y, et al. Rapid health transition in China, 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet, 2013, 381(9882): 1987-2015.
2. Watts J. Chen Zhu: from barefoot doctor to China's Minister of Health. Lancet, 2008, 372(9648): 1455.
3. Institute of Medicine (US) Committee on Quality of Health Care in America; Editors: Linda T. Kohn LT, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Health System. Washington (DC): National Academies Press, 2000. 1-312.
4. Poisal JA, Truffer C, Smith S, et al. Health Spending Projections Through 2016: modest changes obscure part D's impact: as health care spending trends remain stable, the medicare drug benefit changes who pays the bill. Health Affairs, 2007, 26(Suppl2): w242-w53.
5. Krumholz HM. Outcomes research: generating evidence for best practice and policies. Circulation, 2008, 118(3): 309-318.
6. Kosiborod M, Spertus JA. Careers in cardiovascular outcomes research. Circulation, 2009, 120(1): 76-81.
7. Antoniucci D, Valenti R, Migliorini A, et al. Relation of time to treatment and mortality in patients with acute myocardial infarction undergoing primary coronary angioplasty. Am J Cardiol, 2002, 89(11): 1248-1252.
8. Berger PB, Ellis SG, Holmes DR, Jr., et al Relationship between delay in performing direct coronary angioplasty and early clinical outcome in patients with acute myocardial infarction: results from the global use of strategies to open occluded arteries in Acute Coronary Syndromes (GUSTO-IIb) trial. Circulation, 1999, 100(1): 14-20.
9. McNamara RL, Wang Y, Herrin J, et al. Effect of door-to-balloon time on mortality in patients with ST-segment elevation myocardial infarction. J Am Coll Cardiol, 2006, 47(11): 2180-2186.
10. Antman EM, Anbe DT, Armstrong PW, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction--executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1999 guidelines for the management of patients with acute myocardial infarction). J Am Coll Cardiol, 2004, 44(3): 671-719.
11. Krumholz HM, Bradley EH, Nallamothu BK, et al. A campaign to improve the timeliness of primary percutaneous coronary intervention. door-to-balloon: an alliance for quality. JACC, 2008, 1(1): 97-104.
12. Bradley EH, Roumanis SA, Radford MJ, et al. Achieving door-to-balloon times that meet quality guidelines: How do successful hospitals do it? J Am Coll Cardiol, 2005, 46(7): 1236-1241.
13. Nallamothu BK, Bradley EH, Krumholz HM. Time to treatment in primary percutaneous coronary intervention. N Engl J Med, 2007, 357(16): 1631-1638, 578.
14. Rao C, Zhang H, Gao H, et al. The Chinese cardiac surgery registry: Design and data audit. Ann Thorac Surg, 2016, 101(4): 1514-1520.
15. Yuan X, Zhang H, Zheng Z, et al. Trends in mortality and major complications for patients undergoing coronary artery bypass grafting among urban teaching hospitals in China: 2004 to 2013. Eur Heart J Qual Care Clin Outcomes, 2017, 3(4): 312-318.
16. Zheng Z, Zhang H, Yuan X, et al. Comparing outcomes of coronary artery bypass grafting among large teaching and urban hospitals in China and the United States. Circ Cardiovasc Qual Outcomes, 2017, 10(6): e003327.

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Healthcare quality improvement for cardiovascular surgery in China: basic concepts and current status

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