Key result
A quality improvement initiative including triage prioritization and staff education decreased mean door-to-electrocardiogram time for STEMI from 21.28 to 9.47 minutes, a 55% improvement.
Why the study?
Does a quality improvement initiative reduce door-to-electrocardiogram time in patients presenting to the emergency department with suspected acute coronary syndrome?
Population
Patients presenting to the emergency department with suspected acute coronary syndrome or ST Elevation…
Comparison
Quality improvement interventions including a… vs Pre-intervention period
Design
Other
Authors
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Supports targeted ED QI to meet door-to-ECG benchmarks; leaves open generalizability and outcome impact.
Does a quality improvement initiative reduce door-to-electrocardiogram time in patients presenting to the emergency department with suspected acute coronary syndrome?
Effect estimate: 55% improvement
Absolute Event Rate: 9.47% vs 21.28%
A targeted emergency department quality improvement initiative successfully reduced door-to-ECG times for suspected STEMI patients to meet the national benchmark of under 10 minutes.
Phelan et al. (2009) studied Suspected acute coronary syndrome / STEMI. Quality improvement initiative (triage prioritization, staff assignment, feedback, education) vs. Pre-intervention routine care was evaluated on Mean door-to-electrocardiogram (D2ECG) time (55% improvement). A quality improvement initiative including triage prioritization and staff education decreased mean door-to-electrocardiogram time for STEMI from 21.28 to 9.47 minutes, a 55% improvement.
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