The American journal of medicine
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Randomized Controlled Trial Multicenter Study Clinical Trial
The results of a randomized trial of a quality improvement intervention in the care of patients with heart failure. The MISCHF Study Investigators.
Quality improvement and disease management programs for heart failure have improved quality of care and patient outcomes at large tertiary care hospitals. The purpose of this study was to measure the effects of a regional, multihospital, collaborative quality improvement intervention on care and outcomes in heart failure in community hospitals. ⋯ The incremental effect of regional collaboration among peer community hospitals toward the goal of quality improvement was small and limited to a slightly, but not significantly, shorter length of stay.