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Ann Thorac Surg 1996;62:391-392
© 1996 The Society of Thoracic Surgeons

Discussion

Discussion

The first 20% of the full text of this article appears below.

See also page 386.

DR LUDWIG K. von SEGESSER (Zurich, Switzerland): I congratulate you on your excellent results. Have you lost any patient at home? If a patient dies during the hospital stay, how does your model handle this patient?

DR TURLEY: Hospital deaths were not included in the statistical analysis of hospital stay. For this reason, the three deaths were presented initially. There were no deaths outside the hospital. None of the 214 consecutive patients left the hospital for another facility. All survivors were discharged home.

DR MARSHALL L. JACOBS (Philadelphia, PA): Doctor Turley, I compliment you not only on your responsiveness to the forces that are brought to bear on all of us in terms of redesigning practice but also on the very careful and elegant analysis and the good results. You did mention a family satisfaction survey. If there were a physician satisfaction survey polling the opinions of yourself and your cardiology colleagues, would you conclude that this is a good thing?

DR TURLEY: Thank you, Dr Jacobs, for your kind comments. The interesting thing about this whole process is that it involves a number of critical moments, the first of which occur before the patient actually enters the hospital. Those are the introduction by the clinical nurse coordinator and what we call empowerment. In our initial experience, we used the term indoctrination. It implied that the family was given the information and then . . . [Full Text of this Article]


Related Article

Cardiovascular-Radical Outcome Method is Effective in Complex Congenital Cardiac Lesions
Kevin Turley, Michael Tyndall, Kerry M. Turley, Claude Roge, Michael Cooper, and Harold Tarnoff
Ann. Thorac. Surg. 1996 62: 386-391. [Abstract] [Full Text]





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Copyright © 1996 by The Society of Thoracic Surgeons.