| CQI: improving the time to thrombolytic therapy for patients with acute myocardial infarction in the emergency department. | |
| | |
MedLine Citation:
|
PMID: 8969986 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The objective of this study was to implement a system of continuous quality improvement to reduce delays in the administration of thrombolytic therapy for patients with acute myocardial infarction in the emergency department (ED). The setting was a community hospital ED with an annual census of approximately 40,000 patients. The participants included all patients presenting to the ED with a diagnosis of acute myocardial infarction eligible for thrombolytic therapy. A cross-functional team analyzed the process of events that occurred from the arrival of a patient in the ED to treatment with thrombolytic therapy. The entire process was documented in a process flow diagram. Measurements of key time intervals were made, and remedies were designed and implemented based on these results. In the postintervention period, the performance level of the new process was evaluated and the results were compared with those in the preintervention period. In the postintervention period, the median elapsed time from ED admission to thrombolysis was 40 min, which was significantly shorter that the median preintervention time of 62 min. This study successfully applied the theory of continuous quality improvement to reduce the delays to thrombolytic therapy for patients with acute myocardial infarction in the ED. |
| | |
Authors:
|
K N Markel; S A Marion |
Related Documents
:
|
9786806 - Risk for intracranial hemorrhage after tissue plasminogen activator treatment for acute... 10522716 - Six-month assessment of a phase i trial of angiogenic gene therapy for the treatment of... 9448906 - Interventional management of acute myocardial infarction (ami). 3168586 - Cocaine-associated myocardial infarction. a word of caution about thrombolytic therapy. 6971646 - Long-term survival after coronary bypass surgery. comparison of various subsets of pati... 15951836 - Transgenic expression of the deoxynucleotide carrier causes mitochondrial damage that i... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of emergency medicine Volume: 14 ISSN: 0736-4679 ISO Abbreviation: J Emerg Med Publication Date: 1996 Nov-Dec |
Date Detail:
|
Created Date: 1997-03-06 Completed Date: 1997-03-06 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8412174 Medline TA: J Emerg Med Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 685-9 Citation Subset: IM |
Affiliation:
|
Department of Emergency Medicine, Richmond Hospital, British Columbia, Canada. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Algorithms* Chest Pain / diagnosis Diagnostic Errors Electrocardiography Emergency Service, Hospital / standards* Humans Myocardial Infarction / drug therapy* Patient Admission Quality Assurance, Health Care Thrombolytic Therapy* Time Factors |
| Comments/Corrections | |
Comment In:
|
J Emerg Med. 1997 Sep-Oct;15(5):725-6
[PMID:
9348067
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Perceptions and satisfaction with emergency department care.
Next Document: Refining the level for anticipated hepatotoxicity in acetaminophen poisoning.