Update on Cardiac Surgery at St Francis
Robert Poston, MDChairman, Cardiothoracic Surgery
Mortality Mortality and Morbidity0
0.5
1
1.5
2
2.5
3
3.5
Outcomes for Heart Bypass at St FrancisFeb ‘15 – March ‘16
(n=204)15%
14.5
14
13.5
13
12.5
12
3%
2.5
2
1.5
1
0.5
0
Observed
Expected
O/E0.88
O/E0.94
stroke deep SWI0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.8
Highly Morbid ComplicationsAfter Bypass at St. Francis
Feb ‘15 to March ‘16 (n=204)
SFMC OLOL STS
0% 0%
return to OR renal failure prolonged vent0
2
4
6
8
10
12
14
Other Major Complications After Bypass at St. Francis
Feb ‘15 to March ‘16 (n=204)
SFMC OLOL STS
% receiving RBC0
2
4
6
8
10
12
14
16
Blood Transfusions After Bypass at St. Francis
Feb ’15 to March ‘16 (n=204)
SFMC OLOL STS
45%
42.5
40
37.5
35
32.5
30
27.5
Mortality Mort&Morb0
2
4
6
8
10
12
14
16
18
Outcomes for All Cardiac Surgical Cases Done at St. Francis
Feb ‘15 to March ‘16 (n=247)
Observed Expected
O/E1.25
O/E0.96
Expectations
Time
Performance
Low
High
Low
High
Disillusionment
1st case …Nth caseRobotic program
introduced
Learning curve
Status quo
Life Cycle of Innovation