The five hospital factors that affect heart attack survival, Science Daily

Until now, little has been known about the factors that may influence this variation in death rates. The Yale team reviewed 11 hospitals through interviews and site visits. Those selected were among the best and worst performers, as rated by the federal agency that administers Medicare and Medicaid.

"Previous research looked at whether hospital characteristics like urban location, teaching status, geographical region, and socio-economic status of patients are related to acute myocardial infarction (AMI) mortality rates, but these factors don't explain much of the variation in mortality," said Leslie A. Curry, Ph.D., research scientist at the Yale Global Health Leadership Institute and lead author on the paper. "We were particularly interested in the roles of social interactions and organizational culture, which are difficult to measure using common research approaches like surveys."

Hospitals in the high- and low-performing groups differed substantially in five ways: organizational values and goals, senior management involvement, broad staff presence and expertise in AMI care, communication and coordination, and problem solving.

via sciencedaily.com

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What to Do During a Heart Attack | Heart Attack Information for Women

Heart Attack Action Plan

• Call 9-1-1 for emergency medical care.

  Did you know?

  Women who call their own doctor before calling 9-1-1 take twice as long to get life-saving treatment.

  Calling 9-1-1 is the best and fastest way to get to the hospital. When you notice heart attack symptoms, call 9-1-1 immediately (within five minutes at most). If you call 9-1-1, emergency medical personnel can begin life-saving treatment right away, even before you get to the hospital. Don't drive yourself or have someone drive you unless you have no other choice.

  More about why 9-1-1 is the right call » 
  • Heart attack patients who arrive by ambulance tend to be treated faster once they get to the hospital, and every minute counts.
  • If you try to drive yourself, you could get stuck in traffic or pass out and cause an accident.
  • Calling your own doctor before calling 9-1-1 only causes delays.
  • Common problems soon after a heart attack include arrhythmia (a problem with the heart's rhythm that can be caused by damage during a heart attack) and cardiac arrest (when the heart suddenly and unexpectedly stops beating). Emergency medical personnel have the equipment and training to deal with these problems and make sure you get to the hospital safely.

• Talk to the 9-1-1 operator and follow their instructions.

  Did you know?

  The ambulance can find you whether you call 9-1-1 from a land line or your cell phone. If they're equally close, use the land line.

  • Try not to panic. Take long, deep breaths, stay calm, and speak slowly and clearly. The dispatcher will ask for your name, where you are, and what is wrong. Say: "I think I am having a heart attack." Stay on the line until you are sure the operator has all the information they need.

  • The 9-1-1 operator may tell you to chew and swallow an aspirin if you are not allergic and don't have any other medical reason not to take it. Never delay calling 9-1-1 to take an aspirin.

via womenshealth.gov

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