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Hospital Strategies for Reducing Risk-Standardized Mortality Rates in Acute Myocardial Infarction

Background:

Despite recent improvements in survival after acute myocardial infarction (AMI),U.S. hospitals vary 2-fold in their 30-day risk-standardized mortality rates (RSMRs). Nevertheless,information is limited on hospital-level factors that may be associated with RSMRs.

Objective:

To identify hospital strategies that were associated with lower RSMRs.

Design:

Cross-sectional survey of 537 hospitals (91% [...]

Comparison of Hospital Risk-Standardized Mortality Rates Calculated by Using In-Hospital and 30-Day Models:An Observational Study With Implications for Hospital Profiling

Background:

In-hospital mortality measures,which are widely used to assess hospital quality,are not based on a standardized follow-up period and may systematically favor hospitals with shorter lengths of stay (LOSs).

Objective:

To assess the agreement between performance measures of U.S. hospitals by using risk-standardized in-hospital and 30-day mortality rates.

Design:

Observational study.

[...]