Acute myocardial infarction (AMI) is a common condition. Although survival rates for patients with AMI have improved, there is a substantial variation in risk standardized 30-day mortality rates (RSMR).
To reduce this variation, the Surviving MI Initiative will disseminate the evidence-based strategies of top performing hospitals. This unique initiative focuses on improving MI mortality, but will have lasting benefit on overall patient outcomes by influencing organizational culture change.
Goal: To increase the adoption of evidence-based strategies associated with lower 30-day risk standardized mortality rates (RSMR) for patients hospitalized with acute myocardial infarction (AMI) through the creation of a hospital learning network.
Evidence-Based Strategies: The program will disseminate leadership, culture, and communication strategies each associated with an approximate 0.5% to 1% decrease in 30-day mortality rates, including:
- Physician and nurse AMI champions
- An organizational culture that supports creative problem solving
- Monthly meetings with EMS providers to review AMI cases
- Cardiologists onsite 24/7
- Nurses not cross trained from ICU for the cardiac cath laboratory
- Pharmacists round on all patients with AMI