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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Summary: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.
ISSN:2772-9303