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Update on Cardiac Surgery at
St Francis
Robert Poston, MD
Chairman, Cardiothoracic Surgery
0
0.5
1
1.5
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2.5
3
3.5
Mortality Mortality and Morbidity
Outcomes for Heart
Bypass at St Francis
Feb ‘15 – March ‘16 (n=2...
0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.8
stroke deep SWI
Highly Morbid Complications
After Bypass at St. Francis
Feb ‘15 to Mar...
0
2
4
6
8
10
12
14
return to OR renal failure prolonged vent
Other Major Complications
After Bypass at St. Francis
Feb ‘15...
0
2
4
6
8
10
12
14
16
% receiving RBC
Blood Transfusions After
Bypass at St. Francis
Feb ’15 to March ‘16 (n=204)
SFMC OLO...
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Mortality Mort&Morb
Outcomes for All Cardiac Surgical
Cases Done at St. Francis
Feb ‘15 to March ...
Expectations
Time
Performance
Low
High
Low
High
Disillusionment
1st case …Nth case
Robotic program
introduced
Learning cur...
Sfmc.2015results
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Sfmc.2015results

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Presentation given at Core Team meeting on 5/17/16 that provides the results for the cardiac surgical program at SFMC for 2015.

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Sfmc.2015results

  1. 1. Update on Cardiac Surgery at St Francis Robert Poston, MD Chairman, Cardiothoracic Surgery
  2. 2. 0 0.5 1 1.5 2 2.5 3 3.5 Mortality Mortality and Morbidity Outcomes for Heart Bypass at St Francis Feb ‘15 – March ‘16 (n=204) 15% 14.5 14 13.5 13 12.5 12 3% 2.5 2 1.5 1 0.5 0 Observed Expected O/E 0.88 O/E 0.94
  3. 3. 0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.8 stroke deep SWI Highly Morbid Complications After Bypass at St. Francis Feb ‘15 to March ‘16 (n=204) SFMC OLOL STS 0% 0%
  4. 4. 0 2 4 6 8 10 12 14 return to OR renal failure prolonged vent Other Major Complications After Bypass at St. Francis Feb ‘15 to March ‘16 (n=204) SFMC OLOL STS
  5. 5. 0 2 4 6 8 10 12 14 16 % receiving RBC Blood Transfusions After Bypass at St. Francis Feb ’15 to March ‘16 (n=204) SFMC OLOL STS 45% 42.5 40 37.5 35 32.5 30 27.5
  6. 6. 0 2 4 6 8 10 12 14 16 18 Mortality Mort&Morb Outcomes for All Cardiac Surgical Cases Done at St. Francis Feb ‘15 to March ‘16 (n=247) Observed Expected O/E 1.25 O/E 0.96
  7. 7. Expectations Time Performance Low High Low High Disillusionment 1st case …Nth case Robotic program introduced Learning curve Status quo Life Cycle of Innovation

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