Key result
Quality improvement project increases 10-minute EKG completion rates for suspected ACS in the ED.
Why the study?
Do quality improvement interventions improve the percentage of patients receiving an EKG within 10 minutes of presentation for suspected acute coronary syndrome?
Observational
Yes
Do quality improvement interventions improve the percentage of patients receiving an EKG within 10 minutes of presentation for suspected acute coronary syndrome?
A multifaceted quality improvement project can successfully improve compliance with the guideline-recommended door-to-EKG time of ≤10 minutes for patients with suspected acute coronary syndrome.
OBJECTIVE: To improve compliance with a target door-to-electrocardiogram (EKG) time of 10 minutes or less in patients presenting with symptoms concerning for acute coronary syndrome. METHODS: A pre-post study was performed between January 2014 and May 2016 at five emergency departments (EDs) in Saudi Arabia. Patients who presented to ED with symptoms concerning for acute coronary syndrome were included in the study. The primary outcome of interest was whether EKG was completed within 10 minutes after the patient arrival to ED. Quality improvement interventions consisted of human resources adjustments, education, technological improvements, and improved interdepartmental collaboration. Multivariate analysis was used to model the percentage of EKGs that were completed within the targeted time. CONCLUSION: A quality improvement project can successfully increase the percentage of patients receiving EKG within 10 minutes of presentation to ED. Further research is required to demonstrate the clinical significance of improved door-to-EKG times.
No takes yet. Share an insight, caveat, or question.
Keats et al. (2017) conducted an observational in Symptoms concerning for acute coronary syndrome. Quality improvement interventions vs. Pre-intervention period was evaluated on EKG completed within 10 minutes after patient arrival to ED (p=<0.001). A quality improvement project successfully increased the percentage of patients with suspected acute coronary syndrome receiving an EKG within 10 minutes of ED presentation (P<0.001).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: