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An interdisciplinary team is evaluating the hospital's care of patients admitted with a myocardial infarction (heart attack) compared to national standards. The team analyzes the hospital's clinical indicator, which would be: (select all that apply)

1) Aspirin order within 24 hours of discharge.
2) Patient teaching related to stopping smoking completed prior to discharge.
3) Beta blocker administered upon arrival.
4) Support of employer to modify stress in workplace.
5) Patient's willingness to adhere to a strict cardiac diet after discharge.

1 Answer

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Final answer:

Key clinical indicators for evaluating the hospital's care of patients with myocardial infarction include whether an aspirin order was made within 24 hours of discharge, if patient teaching related to smoking cessation was completed prior to discharge, and if a beta blocker was administered upon arrival.

Step-by-step explanation:

An interdisciplinary team evaluating the care of patients admitted with a myocardial infarction (MI) or heart attack against national standards would consider several clinical indicators. Clinical indicators help measure the quality of care provided to patients and compare it against established evidence-based practices.

  • Aspirin order within 24 hours of discharge is a key indicator as aspirin has been shown to decrease the risk of a myocardial infarction by helping to break up blood clots.
  • Patient teaching related to stopping smoking completed prior to discharge is another significant indicator because lifestyle changes, including smoking cessation, are crucial for long-term management of heart disease.
  • A beta blocker administered upon arrival is also an essential clinical indicator. Beta-blockers can decrease the heart's workload and improve survival after a myocardial infarction.

As for the support of an employer to modify workplace stress and a patient's willingness to adhere to a strict cardiac diet, these are important for long-term management but are not typically measured as clinical indicators in a hospital setting.

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