Patient Quality Measures: The Necessary Paradigm Shifts in Medicine

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Authors

  • Pranav M. Patel Chief, Division of Cardiology, Department of Medicine, University of California, Irvine, California, 92868-4080, USA

DOI:

https://doi.org/10.17140/HROJ-1-e001

Abstract

Improving patient quality measures is a complex task. It involves more than simply
telling caregivers to adopt new practices. Rather, it uses current research and tools to bring
about creating changes in workplace attitudes, building teamwork among healthcare providers,
and converting evidence based data into actual practice. There are many tools that physicians
can use to change practice and improve on quality measures. Heart Research - Open Journal
is one such tool. This electronic journal is an open access scholarly journal, dedicated to making
accessible medical information and research to a wide variety of healthcare individuals.
We welcome everyone to our first journal and hope that is a valuable resource for the future.
In this edition I am going to discuss changing role of physicians in medical practices as new
research and therapy directs us towards better patient care. I will use one particular example
that I am very familiar with, and this is the practice of transradial cardiac catheterization

References

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Feldman DN, Swaminathan RV, Kaltenbach LA, Baklanov DV, Kim LK, Wong SC. Adoption of radial access and comparison of outcomes to femoral access in percutaneous coronary intervention: an updated report from the national cardiovascular data registry (2007-2012). Circulation. 2013; 127(23): 2295- 2306. doi: 10.1161/CIRCULATIONAHA.112.000536

Patel PM, Kern MJ. Transradial cardiac catheterization: the “unfreeze-change” theory. Cathet Cardiovasc Intervent. 2012; 80(2): 258-259. doi: 10.1002/ccd.24530

Jolly SS, Yusuf S, Cairns J, et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet. 2011; 377(9775): 1409-1420. doi: 10.1016/S0140-6736(11)60404-2

Cooper CJ, El-Shiekh RA, Cohen DJ, Blaesing L, Burket MW, Basu A. Effect of transradial access on quality of life and cost of cardiac catheterization: A randomized comparison. Am Heart J. 1999; 138(3 Pt 1): 430-436. doi: http://dx.doi.org/10.1016/S0002-8703(99)70143-2

Amin AP, House JA, Safley DM, Chhatriwalla AK, Giersiefen H, Bremer A. Costs of transradial percutaneous coronary intervention. JACC Cardiovasc Interv. 2013; 6(8): 827-834. doi: 10.1016/j.jcin.2013.04.014

Roussanov O, Wilson SJ, Henley K, Estacio G, Hill J, Dogan B. Cost-effectiveness of the radial versus femoral artery approach to diagnostic cardiac catheterization. J Invasive Cardiol. 2007; 19(8): 349-353.

Kuhn, Thomas S. The Structure of Scientific Revolutions, 3rd Ed. Chicago and London: University of Chicago Press; 1996.

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Published

2014-03-18

How to Cite

Pranav M. Patel. (2014). Patient Quality Measures: The Necessary Paradigm Shifts in Medicine. Heart Research, 1(1), 25–26. https://doi.org/10.17140/HROJ-1-e001