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Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
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| Institution | Rating |
|---|---|
| U.S. Average1 | 97% |
| N.C. Average2 | 99% |
| Top Hospitals3 | 100% |
| Duke Raleigh Hospital | 100% |
| Duke University Hospital | 100% |
| Durham Regional Hospital | 100% |
The rates displayed in this graph are for discharges April 2011 through March 2012.
Source:
hospitalcompare.hhs.gov
(1) The U.S. average includes all reporting hospitals in the United States.
(2) The N.C. average includes all reporting hospitals in the state of North Carolina.
(3) "Top Hospitals" represent the top 10% of hospitals nationwide. These hospitals achieved 100% on this measure.
What Does This Measure?
The percentage of eligible heart attack patients with left ventricular systolic dysfunction (LVSD) who received an ACE (angiotensin converting enzyme) inhibitor or ARB (angiotensin receptor blocker) on discharge.
Why Is This Important?
ACE inhibitors and ARBs are medicines that block a hormone in the body that causes blood vessels to narrow. They help lower blood pressure and reduce the heart’s workload.
Prescribing ACE inhibitors and ARBs to patients with heart failure symptoms or reduced heart function due to a heart attack significantly reduces the risk of death.
What Are We Doing to Improve Our Performance?
Duke has enacted several initiatives to improve our performance. These include:
- Computerized physician order entry (CPOE)
- Electronic medical records (EMR)
- Evidence-based medicine
- HealthView patient portal
- Heart attack-specific discharge instructions and patient education information
- Nursing and physician education
- Patient advocacy and support groups
- Patient safety and clinical quality committees
- Six Sigma
- Standardized order sets
More Information
