Beta blocker prescribed at discharge

What It Means
The percentage of patients with Acute Myocardial Infarction who were prescribed a beta blocker at hospital discharge.

Why It Is Important
Clinical evidence shows that taking beta blockers after AMI helps reduce the risk of complications and death.

Numerator Definition
Patients with AMI who are prescribed a beta blocker at hospital discharge

Denominator Definition
Patients with AMI without beta blocker contraindications

Denominator Excluded Populations

  • Patients less than 18 years of age
  • Patients transferred to another acute care hospital
  • Patients who expired
  • Patients who left against medical advice
  • Patients discharged to hospice
  • Patients with one or more of the following beta blocker contraindications/reasons for not prescribing a beta blocker documented in the medical record:
         -   Beta blocker allergy;
         -   Bradycardia (heart rate less than 60 bpm) on day of discharge or day prior to discharge while not on a beta blocker;
         -   Second or third degree heart block on ECG on arrival or during hospital stay and does not have a pacemaker;
         -   Systolic blood pressure less than 90 mm Hg on day of discharge or day prior to discharge while not on a beta blocker; or
         -   Other reasons documented by a physician, nurse practitioner, or physician assistant for not prescribing a beta blocker at discharge

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