Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs

Background: Multidisciplinary cardiogenic shock (CS) programs have been associated with improved outcomes, yet practical guidance for developing a CS program is lacking. Methods: A survey on CS program development and operational best practices was administered to 12 institutions in diverse sociogeo...

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Main Authors: Raymond M. Yau, MD, Robyn Mitchell, ACNP, Aasim Afzal, MD, Timothy J. George, MD, Syed Siddiqullah, MD, Aditya S. Bharadwaj, MBBS, Alexander G. Truesdell, MD, Carolyn Rosner, MSN, NP-C, MBA, Mir B. Basir, DO, Ruth Fisher, MBA, Allison Dupont, MD, Carlos Leon Alviar, MD, Haval Chweich, MD, Navin K. Kapur, MD, Rajan A.G. Patel, MD, Scott Silvestry, MD, Sandeep M. Patel, MD, Jacob Abraham, MD
Format: Article
Language:English
Published: Elsevier 2024-11-01
Series:Journal of the Society for Cardiovascular Angiography & Interventions
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772930324017320
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author Raymond M. Yau, MD
Robyn Mitchell, ACNP
Aasim Afzal, MD
Timothy J. George, MD
Syed Siddiqullah, MD
Aditya S. Bharadwaj, MBBS
Alexander G. Truesdell, MD
Carolyn Rosner, MSN, NP-C, MBA
Mir B. Basir, DO
Ruth Fisher, MBA
Allison Dupont, MD
Carlos Leon Alviar, MD
Haval Chweich, MD
Navin K. Kapur, MD
Rajan A.G. Patel, MD
Scott Silvestry, MD
Sandeep M. Patel, MD
Jacob Abraham, MD
author_facet Raymond M. Yau, MD
Robyn Mitchell, ACNP
Aasim Afzal, MD
Timothy J. George, MD
Syed Siddiqullah, MD
Aditya S. Bharadwaj, MBBS
Alexander G. Truesdell, MD
Carolyn Rosner, MSN, NP-C, MBA
Mir B. Basir, DO
Ruth Fisher, MBA
Allison Dupont, MD
Carlos Leon Alviar, MD
Haval Chweich, MD
Navin K. Kapur, MD
Rajan A.G. Patel, MD
Scott Silvestry, MD
Sandeep M. Patel, MD
Jacob Abraham, MD
author_sort Raymond M. Yau, MD
collection DOAJ
description Background: Multidisciplinary cardiogenic shock (CS) programs have been associated with improved outcomes, yet practical guidance for developing a CS program is lacking. Methods: A survey on CS program development and operational best practices was administered to 12 institutions in diverse sociogeographic regions and practice settings. Common steps in program development were identified. Results: Key steps for program development were identified: measuring baseline outcomes; identifying subspecialty champions; gaining leadership and team buy-in; developing institution-specific CS protocols; educating staff and referring providers; consulting with external experts; and developing quality assessment and process improvement. Conclusions: An assessment of 12 US CS programs highlights a blueprint for establishing and maintaining a successful, multidisciplinary shock program.
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publisher Elsevier
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series Journal of the Society for Cardiovascular Angiography & Interventions
spelling doaj-art-d223da2d43bf4634bbb129df3e7acd622025-08-20T02:32:44ZengElsevierJournal of the Society for Cardiovascular Angiography & Interventions2772-93032024-11-0131110228810.1016/j.jscai.2024.102288Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US ProgramsRaymond M. Yau, MD0Robyn Mitchell, ACNP1Aasim Afzal, MD2Timothy J. George, MD3Syed Siddiqullah, MD4Aditya S. Bharadwaj, MBBS5Alexander G. Truesdell, MD6Carolyn Rosner, MSN, NP-C, MBA7Mir B. Basir, DO8Ruth Fisher, MBA9Allison Dupont, MD10Carlos Leon Alviar, MD11Haval Chweich, MD12Navin K. Kapur, MD13Rajan A.G. Patel, MD14Scott Silvestry, MD15Sandeep M. Patel, MD16Jacob Abraham, MD17Heart Hospital of New Mexico, Albuquerque, New Mexico; Corresponding authorHeart Hospital of New Mexico, Albuquerque, New MexicoHeart Recovery Center, Baylor Scott & White The Heart Hospital − Plano, Plano, TexasHeart Recovery Center, Baylor Scott & White The Heart Hospital − Plano, Plano, TexasHeart Recovery Center, Baylor Scott & White The Heart Hospital − Plano, Plano, TexasDivision of Cardiology, Loma Linda University, Loma Linda, CaliforniaVirginia Heart, Falls Church, Virginia; Inova Schar Heart and Vascular, Inova Fairfax Medical Campus, Falls Church, VirginiaInova Schar Heart and Vascular, Inova Fairfax Medical Campus, Falls Church, VirginiaDivision of Cardiovascular Diseases, Henry Ford Hospital, Detroit, MichiganHeart & Vascular Center, Moses Cone Hospital, Greensboro, North CarolinaNorthside Hospital Heart Institute, Atlanta, GeorgiaThe Leon H. Charney Division of Cardiology, New York University Grossman School of Medicine & Bellevue Hospital, New York, NYDivision of Pulmonary, Critical Care and Sleep Medicine, Tufts Medical Center and Tufts University School of Medicine, Boston, MassachusettsDepartment of Cardiology, The CardioVascular Center, Tufts Medical Center, Boston, MassachusettsJohn Ochsner Heart and Vascular Institute, Ochsner Medical Center, New Orleans, LouisianaDepartment of Surgery, College of Medicine, University of Arizona, Tucson, ArizonaMercy Health, St. Rita’s Medical Center, Lima, OhioCenter for Cardiovascular Analytics, Research + Data Science (CARDS), Providence Heart Institute, Providence Research Network, Portland, OregonBackground: Multidisciplinary cardiogenic shock (CS) programs have been associated with improved outcomes, yet practical guidance for developing a CS program is lacking. Methods: A survey on CS program development and operational best practices was administered to 12 institutions in diverse sociogeographic regions and practice settings. Common steps in program development were identified. Results: Key steps for program development were identified: measuring baseline outcomes; identifying subspecialty champions; gaining leadership and team buy-in; developing institution-specific CS protocols; educating staff and referring providers; consulting with external experts; and developing quality assessment and process improvement. Conclusions: An assessment of 12 US CS programs highlights a blueprint for establishing and maintaining a successful, multidisciplinary shock program.http://www.sciencedirect.com/science/article/pii/S2772930324017320cardiogenic shockprotocolshock teams
spellingShingle Raymond M. Yau, MD
Robyn Mitchell, ACNP
Aasim Afzal, MD
Timothy J. George, MD
Syed Siddiqullah, MD
Aditya S. Bharadwaj, MBBS
Alexander G. Truesdell, MD
Carolyn Rosner, MSN, NP-C, MBA
Mir B. Basir, DO
Ruth Fisher, MBA
Allison Dupont, MD
Carlos Leon Alviar, MD
Haval Chweich, MD
Navin K. Kapur, MD
Rajan A.G. Patel, MD
Scott Silvestry, MD
Sandeep M. Patel, MD
Jacob Abraham, MD
Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs
Journal of the Society for Cardiovascular Angiography & Interventions
cardiogenic shock
protocol
shock teams
title Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs
title_full Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs
title_fullStr Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs
title_full_unstemmed Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs
title_short Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs
title_sort blueprint for building and sustaining a cardiogenic shock program qualitative survey of 12 us programs
topic cardiogenic shock
protocol
shock teams
url http://www.sciencedirect.com/science/article/pii/S2772930324017320
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