Improving door-to-balloon times in primary percutaneous coronary intervention for acute ST-elevation myocardial infarction: the value of an audit-driven quality initiative
Annals of the Academy of Medicine, Singapore
;
: 568-572, 2008.
Article
in English
| WPRIM
| ID: wpr-358774
ABSTRACT
<p><b>INTRODUCTION</b>The study was designed to reduce door-to-balloon times in primary percutaneous coronary intervention for patients presenting to the Emergency Department with acute ST-elevation myocardial infarction, using an audit as a quality initiative.</p><p><b>MATERIALS AND METHODS</b>A multidisciplinary work group performed a pilot study over 3 months, then implemented various process and work-flow strategies to improve overall door-to-balloon times.</p><p><b>RESULTS AND CONCLUSION</b>We developed a guideline-based, institution-specific written protocol for triaging and managing patients who present to the Emergency Department with symptoms suggestive of STEMI, resulting in shortened median door-to-balloon times from 130.5 to 109.5 minutes (P<0.001).</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Quality of Health Care
/
Singapore
/
Therapeutics
/
Time Factors
/
Angioplasty, Balloon, Coronary
/
Pilot Projects
/
Triage
/
Program Development
/
Health Care Surveys
/
Quality Indicators, Health Care
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Annals of the Academy of Medicine, Singapore
Year:
2008
Type:
Article
Similar
MEDLINE
...
LILACS
LIS