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Sfmc.2015results

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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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