Improving door-to-balloon times in primary percutaneous coronary intervention for acute ST-elevation myocardial infarction: the value of an audit-driven quality initiative
Rabind-A CHARLES; Shiou-Liang WEE; Bernard-W-K KWOK; Caren TAN; Swee-Han LIM; Venkataraman ANANTHARAMAN; Wasantha HEMANTHAKUMARI; Terrance-S-J CHUA.
Annals of the Academy of Medicine, Singapore
; : 568-572, 2008.
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| WPRIM | ID: wpr-358774
<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>
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