Post-PCI mortality rates declined at four Massachusetts hospitals that previously had reported high death rates following the procedure, according to a report in JACC: Cardiovascular Interventions. As observed over the past 20 years, public outcome reports often prompt outliers to "improve outcomes by a system process and also, to a small extent, exclude some of the cases, which they otherwise would have done," said SCAI fellow Dr. Samin Sharma of Mount Sinai Hospital. "... Being transparent and reporting, in my opinion, will improve the overall quality of care and also patient selection. Unless a patient is in imminent danger, there is nothing wrong with waiting on high-risk patients, particularly those with comorbid conditions. I am a strong proponent of that."
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