Why the study?
Variability in adherence to evidence-based protocols in Brazil's prehospital emergency care presents a major barrier to effective STEMI care.
Does a structured continuous improvement program integrating Lean principles and telehealth improve ACS care processes in prehospital emergency care?
Population
Patients with ACS in Brazil's fixed prehospital units
Comparison
Continuous improvement program integrating Lean, Improvement Science, and telehealth vs baseline
Design
Continuous quality improvement study
Key result
A structured continuous improvement program integrating Lean principles and telehealth increased adherence to thrombolytic therapy from 52% to 60% (p<0.01) in prehospital ACS care.
Authors
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Enhances thrombolytic adherence in acute care; extends support for targeted quality-improvement protocols in MI.
Observational
Yes
Does a structured continuous improvement program integrating Lean principles and telehealth improve ACS care processes in prehospital emergency care?
Absolute Event Rate: 60% vs 52%
p-value: p=<0.01
Integrating Lean principles and telehealth in prehospital emergency care significantly improves critical ACS care process metrics such as door-to-ECG and door-to-needle times.
Toth et al. (2026) conducted an observational in Acute Coronary Syndrome (ACS). Structured continuous improvement program integrating Lean principles and telehealth vs. Baseline (pre-intervention) was evaluated on Adherence to thrombolytic therapy (p=<0.01). A structured continuous improvement program integrating Lean principles and telehealth increased adherence to thrombolytic therapy from 52% to 60% (p<0.01) in prehospital ACS care.
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