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Measuring Emergency Department Quality of Service

Evidence shows that when patients who have had a heart attack or who have pneumonia are brought into the Emergency Department receive specific types of treatment, they are more likely to get better faster and with few complications.

How the Emergency Department at Cedars-Sinai performed on these measures are reported below.

Heart Attack Care Quality Measures

Receiving an aspirin as soon as possible after a heart attack can help prevent further damage to the heart and help patients recover better after having had a heart attack. The table below highlights how Cedars-Sinai's Emergency Department compares on this care quality measure compared to the top 10% of U.S. hospitals and U.S. hospitals on average.

Emergency Department Care Quality Measures Cedars-Sinai (April - June 2007) All Hospitals Nationwide*
(April 2006 - March 2007)
Top 10% Scored Average
Angiotensin converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) for left ventricular systolic dysfunction Percent of heart attack patients who receive a prescription for an ACE inhibitor or an angiotensin receptor blocker when discharged from the hospital 100% 100% 88%
Aspirin on arrival Percent of heart attack patients who receive aspirin within 24 hours of arriving at the hospital 100% 100% 97%
Beta blocker on arrival Percent of eligible heart attack patients who receive a medicine called a beta-blocker when they arrive at the hospital. 100% 100% 94%
Percutaneous coronary intervention (PCI) therapy Percent of heart attack patients with a blocked artery in the heart that is opened with balloon angioplasty (also known as PCI) within 90 minutes of arriving at the hospital 100% 88% 63%

* These data represent all hospitals across the United States that report data to the joint Commission for the Accreditation of Healthcare Organizations.

Pneumonia Care Quality Measures

How quickly a pneumonia patient receives the appropriate and most effective antibiotic and whether or not the oxygen levels of their blood is assessed plays a significant role in avoiding complications and starting to recover quickly.

The table below shows how the Cedars-Sinai Emergency Department compared on important care quality measures comparred to the top 10% and the average for U.S. hospitals.

Pneumonia Care Quality Measures Cedars-Sinai (April - June 2007) All Hospitals Nationwide*
(April 2006 - March 2007)
Top 10% Scored Average
Blood cultures Percent of pneumonia patients who are given a blood test in the Emergency Department before antibiotics are given 96.2% 97.0% 90.0%
Antibiotic first received within 4 hours of arrival Percent of pneumonia patients receiving an antibiotic within four hours of arriving at the hospital 96.8% 92.0% 80.0%
Antibiotic first received within 8 hours of arrival Percent of pneumonia patients receiving an antibiotic within eight hours of arriving at the hospital 100% 100% 96%
Initial antibiotic selection for community-acquired pneumonia (CAP) in ICU patients Percent of intensive care patients who have community-acquired pneumonia and received the appropriate antibiotic within 24 hours of arriving at the hospital 50% 88% 62%
Initial antibiotic selection for CAP in non-ICU patients Percent of patients not in intensive care units who have community-acquired pneumonia and received the appropriate antibiotic within 24 hours of arriving at the hospital 98.8% 97.0% 90.0%
Oxygenation assessment Percent of patients with pneumonia who had the oxygen in their bloodstream measured 100% 100% 100%

These data represent all hospitals across the United States that report data to The Joint Commission.

To review patient satisfaction ratings for the Emergency Department at Cedars-Sinai, click here.

 
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