Shared quality data are associated with increased protamine use and reduced bleeding complications after carotid endarterectomy in the Vascular Study.

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Presentation transcript:

Shared quality data are associated with increased protamine use and reduced bleeding complications after carotid endarterectomy in the Vascular Study Group of New England Reshma B. Patel, MD, Peter Beaulieu, MD, Karen Homa, PhD, Philip P. Goodney, MD, Andrew C. Stanley, MD, Jack L. Cronenwett, MD, David H. Stone, MD, Daniel J. Bertges, MD, RVT Journal of Vascular Surgery Volume 58, Issue 6, Pages 1518-1524.e1 (December 2013) DOI: 10.1016/j.jvs.2013.06.064 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Statistical process control (SPC) chart shows protamine use during carotid endarterectomy (CEA) for all surgeons participating in the Vascular Study Group of New England (VSGNE) from January 2003 to July 2012. LCL, Lower control limit; SVS, Society for Vascular Surgeons; UCL, upper control limit. Journal of Vascular Surgery 2013 58, 1518-1524.e1DOI: (10.1016/j.jvs.2013.06.064) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Reoperation for bleeding among the 10 improvers compared to surgeons with rare and routine protamine use. Journal of Vascular Surgery 2013 58, 1518-1524.e1DOI: (10.1016/j.jvs.2013.06.064) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Statistical process control (SPC) chart shows reoperation for bleeding after carotid endarterectomy (CEA) for all surgeons participating in the Vascular Study Group of New England (VSGNE) from January 2003 to July 2012. SVS, Society for Vascular Surgeons; UCL, upper control limit. Journal of Vascular Surgery 2013 58, 1518-1524.e1DOI: (10.1016/j.jvs.2013.06.064) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Supplementary Fig (online only) Statistical process control (SPC) chart shows protamine use during carotid endarterectomy (CEA) by surgeons from original participating centers from January 2003 to July 2012. LCL, Lower control limit; SVS, Society for Vascular Surgeons; UCL, upper control limit; VSGNE, Vascular Study Group of New England. Journal of Vascular Surgery 2013 58, 1518-1524.e1DOI: (10.1016/j.jvs.2013.06.064) Copyright © 2013 Society for Vascular Surgery Terms and Conditions