Document Detail

Gender Disparity in Emergency Department Non-ST Elevation Myocardial Infarction Management.
MedLine Citation:
PMID:  20884159     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: Many studies have looked at differences between men and women with acute coronary syndrome. These studies demonstrate that women have worse outcomes, receive fewer invasive interventions, and experience delay in the initiation of established medical therapies.
OBJECTIVE: Using innovative technology, we set out to unveil and resolve any gender disparities in the evaluation and treatment of patients presenting with a positive troponin while in the emergency department. Our goal was to assess the feasibility of using a business management query system to create an automated data report that could identify deficiencies in standards of care and be used to improve the quality of treatment we provide our patients.
METHODS: Over a 12-month period, key markers for patients with non-ST elevation myocardial infarction (NSTEMI) were tracked (e.g., time to electrocardiogram, door to medications). During this time, educational endeavors were initiated utilizing McKesson's Horizon Business Insight™ (McKesson Information Solutions, Alpharetta, GA) to illustrate gender differences in standard therapy. Subsequently, indicators were evaluated for improvement.
RESULTS: Substantial improvements in key indicators for management of NSTEMI were obtained and gender differences minimized where education was provided.
CONCLUSION: The integration of these information systems allowed us to create a successful performance improvement tool and, as an added benefit, nearly eliminated the need for manual retrospective chart reviews.
Marna Rayl Greenberg; William F Bond; Richard S Mackenzie; Rezarta Lloyd; Monisha Bindra; Valerie A Rupp; Anne-Marie Crown; James F Reed
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Publication Detail:
Type:  Journal Article     Date:  2010-10-02
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  42     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-05-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  588-97     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Department of Emergency Medicine, Lehigh Valley Hospital and Health Network, Allentown, Pennsylvania.
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