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    • Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs

    Raymond M. Yau, Robyn Mitchell,Aasim Afzal,Timothy J. George, Syed Siddiqullah,Aditya S. Bharadwaj,Alexander G. Truesdell,Carolyn Rosner,Mir B. Basir,Ruth Fisher,Allison Dupont, Carlos Leon Alviar,Haval Chweich,Navin K. Kapur,Rajan A.G. Patel,Scott Silvestry,Sandeep M. Patel,Jacob Abraham

    Journal of the Society for Cardiovascular Angiography & Interventions（2024）

    Heart Hospital of New Mexico | Heart Recovery Center | Division of Cardiology | Virginia Heart | Inova Schar Heart and Vascular | Division of Cardiovascular Diseases | Heart & Vascular Center | Northside Hospital Heart Institute | Department of Cardiology | John Ochsner Heart and Vascular Institute | Department of Surgery | Mercy Health

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    Abstract
    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.
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    Key words
    cardiogenic shock,protocol,shock teams
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