Key result
Focused analysis of key steps and implementation of quality improvement initiatives enabled the institution to achieve top decile performance in door-to-balloon time for STEMI treatment.
Multidisciplinary teamwork and focused quality improvement initiatives can significantly enhance door-to-balloon time performance in STEMI treatment.
Supports institutional QI for STEMI metrics; leaves open generalizability beyond single-center literature reviews.
The treatment of ST-elevation myocardial infarction with primary percutaneous coronary intervention is a time-sensitive process, with outcomes correlated with the speed with which the healthcare team can make the diagnosis, start preliminary treatment, and successfully perform the intervention. This requires multidisciplinary teamwork involving Emergency Medical Services, Emergency Medicine and Nursing, the cardiac catheterization laboratory team, and interventional cardiology. The success of effectively delivering treatment is enhanced through focused analysis of key steps within the care process to identify systems problems and implement quality improvement initiatives. This article reviews the process whereby our institution achieved top decile performance in this multidisciplinary treatment.
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Peterman et al. (2010) conducted a review in ST-elevation myocardial infarction. Quality improvement initiatives for door-to-balloon time was evaluated. Focused analysis of key steps and implementation of quality improvement initiatives enabled the institution to achieve top decile performance in door-to-balloon time for STEMI treatment.
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