Morbidity and Mortality and Beyond
Assuring Quality in Cardiac Catheterization Laboratory Quality Programs
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Quality assurance (QA) is an essential component of invasive cardiology with guideline recommendations for all percutaneous coronary interventions facilities to have a QA Committee.1 Although the concept of quality has been embraced, the implementation of such programs has potential inappropriate variability. For examples, some facilities have cath laboratory QA as a component of a hospital-wide program and not as an independent entity that is needed; physician participation is not consistently required but is necessary to be effective; administrative support may be insufficient to provide for adequate data collection and entry. In addition, barriers for standardization may occur based on the local laboratory characteristics. Open physician staffs require quality assessment to be performed by competing individuals/groups. These multispecialty cath laboratories create challenges in leadership definition and program delineation. With no requirements for how to do quality and limited methods available for the assessment of an individual catheterization laboratory QA program, assuring quality in one’s cath laboratory QA program can be challenging.
See Article by Doll et al
The morbidity and mortality (M&M) conference is a traditional key component to the cath laboratory quality process, as adverse events are frequently the emphasis of QA. This should be identified as such to address potential legal concerns and attendance threshold established for maintenance of privileges. Most academic programs have well-developed M&M conferences. These not only assess quality but also provide memorable educational opportunities for general and interventional cardiology fellows, per Accreditation Council for Graduate Medical Education requirements, as well as all faculty, both young and old. Despite the ubiquity and importance of M&M, the literature has been lacking …