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SCAI expert consensus update on best practices in the cardiac catheterization laboratory
Authors:Srihari S. Naidu MD  FACC   FAHA  FSCAI (Chair)  J. Dawn Abbott MD  FACC   FSCAI  Jayant Bagai MD  FSCAI  James Blankenship MD  MSc   MSCAI  Santiago Garcia MD  FACC   FSCAI  Sohah N. Iqbal MD  FACC   FSCAI  Prashant Kaul MD  FSCAI  Matheen A. Khuddus MD  FACC   FSCAI  Lorrena Kirkwood RN  BSN   MS  Steven V. Manoukian MD  FACC   FAHA  FSCAI  Manesh R. Patel MD  FAHA  Kimberly Skelding MD  FACC   FAHA  FSCAI  David Slotwiner MD  FACC   FHRS  Rajesh V. Swaminathan MD  FSCAI  Frederick G. Welt MD  FACC   FSCAI  Daniel M. Kolansky MD  FACC   FAHA  FSCAI (Vice-Chair)
Affiliation:1. Department of Cardiology, Westchester Medical Center and New York Medical College, Valhalla, New York, USA;2. Cardiovascular Institute of Lifespan, Division of Cardiology, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA;3. Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA;4. Cardiology Division, The University of New Mexico, Albuquerque, New Mexico, USA;5. Minneapolis Heart Institute, Minneapolis, Minnesota, USA;6. Mass General Brigham Salem Hospital, Salem, Massachusetts, USA;7. Piedmont Heart Institute, Atlanta, Georgia, USA;8. The Cardiac and Vascular Institute and North Florida Regional Medical Center, Gainesville, Florida, USA;9. HCA Healthcare, Nashville, Tennessee, USA;10. Duke University Medical Center and Duke Clinical Research Institute, Durham, North Carolina, USA;11. Confluence Health, Wenatchee, Washington, USA;12. Division of Cardiology, New York Presbyterian, Weill Cornell Medicine Population Health Sciences, Queens, New York, USA;13. Division of Cardiovascular Medicine, University of Utah Health, Salt Lake City, Utah, USA;14. Division of Cardiovascular Medicine, Perelman School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
Abstract:The current document commissioned by the Society for Cardiovascular Angiography and Interventions (SCAI) and endorsed by the American College of Cardiology, the American Heart Association, and Heart Rhythm Society represents a comprehensive update to the 2012 and 2016 consensus documents on patient-centered best practices in the cardiac catheterization laboratory. Comprising updates to staffing and credentialing, as well as evidence-based updates to the pre-, intra-, and post-procedural logistics, clinical standards and patient flow, the document also includes an expanded section on CCL governance, administration, and approach to quality metrics. This update also acknowledges the collaboration with various specialties, including discussion of the heart team approach to management, and working with electrophysiology colleagues in particular. It is hoped that this document will be utilized by hospitals, health systems, as well as regulatory bodies involved in assuring and maintaining quality, safety, efficiency, and cost-effectiveness of patient throughput in this high volume area.
Keywords:appropriate use  evidence-based medicine  econonics/cost-effectiveness  electrophysiology  health care outcomes  health care policy
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