Document Detail

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    
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.
K N Markel; S A Marion
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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    
Department of Emergency Medicine, Richmond Hospital, British Columbia, Canada.
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MeSH Terms
Chest Pain / diagnosis
Diagnostic Errors
Emergency Service, Hospital / standards*
Myocardial Infarction / drug therapy*
Patient Admission
Quality Assurance, Health Care
Thrombolytic Therapy*
Time Factors
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

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