Hospitals Ranked for Emergency Medicine Quality

WEDNESDAY, Feb. 22 (HealthDay News) — Patients admitted to the
top hospitals for emergency medicine in the United States have a nearly 42
percent lower death rate than those admitted to other hospitals in the
nation, according to a new report.

If all hospitals performed at the same level as the top-ranked
hospitals, nearly 171,000 more people in the United States might have
survived their emergency hospitalization between 2008 and 2010, according
to HealthGrades, an independent provider of consumer information about
doctors and hospitals.

Researchers analyzed more than 7 million Medicare patient records from
2008 to 2010. The patients were admitted to the hospital through the
emergency department for the following diagnoses: bowel obstruction,
chronic obstructive pulmonary disease, diabetic acidosis and coma,
gastrointestinal bleed, heart attack, heart failure, pancreatitis,
pneumonia, pulmonary embolism, respiratory failure, sepsis or stroke.

The report also found that emergency-room admissions for heart attack
decreased 1.7 percent between 2008 and 2010, while admissions for stroke
increased 2.2 percent. It also found that more than 61 percent of hospital
admissions among seniors begin in the emergency department, the highest of
all age groups.

The 10 cities with the lowest risk-adjusted death rates for patients
admitted through the emergency department were: Milwaukee;
Phoenix-Prescott, Ariz.; Cincinnati; West Palm Beach, Fla.; Baltimore;
Traverse City, Mich.; Dayton, Ohio; Cleveland; Fargo, N.D.; and
Detroit.

“It is imperative that anyone experiencing a medical emergency go
directly to the closest hospital, especially in the event of a heart
attack or stroke,” report author Dr. Arshad Rahim, director of accelerated
clinical excellence at HealthGrades, said in a company news release.

“That said, our study findings show the care you receive once admitted
to the hospital can also make the difference between life and death,” Dr.
Rahim added. “We encourage all patients to educate themselves about the
quality of emergency medical providers in their area and to choose a
top-performing hospital whenever there is a choice.”

More information

The U.S. Agency for Healthcare Research and Quality advises you to do your
homework before choosing a hospital
.

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