2.50
Hdl Handle:
http://hdl.handle.net/10755/182523
Category:
Abstract
Type:
Presentation
Title:
Improving Outcomes for STEMI Patients
Author(s):
Kratz, Ann; Reynolds, Lynn
Author Details:
Ann Kratz, MSN, RN, APRN-BC, AP, Aurora Medical Center: Washington County, Hartford, Wisconsin, USA, email: ann.kratz@aurora.org; Lynn Reynolds, RN
Abstract:
Poster Presentation: Background: Direct percutaneous coronary intervention (PCI) is the preferred method of reperfusion for ST-elevation myocardial infarction (STEMI). It has been difficult to achieve similar door-to-balloon times for transfer patients in the United States especially when the STEMI occurs in a community hospital that does not provide PCI. It is estimated that two thirds of patients with STEMI in the United States present to hospitals without cardiac catheterization labs. Purpose: This project was initiated by a Magnet Designated System to improve patient outcomes through interdisciplinary and inter-facility collaboration of a to ensure rapid and efficient transfer of patients with the diagnosis of STEMI from a community hospital to a tertiary care facility over 38 miles away. Sample/Setting: The initial setting was a rural community hospital with access to a tertiary site with a PCI lab. The sample size was limited to patients entering the emergency room with an ST myocardial infarction from 2005-2007. Methodology/Design: The evidence-based literature reviewed by the interdisciplinary team. The team conducted a retrospective chart review. The study interventions included partnering with the community EMS systems as well as the tertiary care facility. After the literature and retrospective review, the Emergency Room staff implemented protocols and guidelines to improve efficiency in diagnosis and transfer of STEMI patients. Results: The door to balloon times were reduced the first year from an average of 175 minutes to an average of 113 minutes. The door to transfer time after implementation was 45 minutes. The second year this time was further reduced to 32 minutes. The second year the door to EKG time for any patient presenting to the Emergency Department of the Rural Hospital was 5.6 minutes with a goal of less than ten minutes. Also, as result there was a significant decrease in cardiac damage as well as a decreased length of stay for STEMI ...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Alexander, KP, Newby, LK, Cannon, CP, et al. Acute coronary care in the elderly, part I: Non-ST-segment-elevation acute coronary syndromes: a scientific statement for healthcare professionals from the American Heart Association Council on Clinical Cardiology: in collaboration with the Society of Geriatric Cardiology. Circulation 2007; 115:2549. Alexander, KP, Newby, LK, Armstrong, PW, et al. Acute coronary care in the elderly, part II: ST-segment-elevation myocardial infarction: a scientific statement for healthcare professionals from the American Heart Association Council on Clinical Cardiology: in collaboration with the Society of Geriatric Cardiology. Circulation 2007; 115:2570. Antman, EM, Anbe, DT, Armstrong, PW, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction. Available at: www.acc.org/qualityandscience/clinical/statements.htm. Bassan, R, Pimenta, L, Scofano, M, et al. Probability stratification and systemic diagnostic approach for chest pain patients in the emergency department. Critical Pathways Cardiology 2004; 3:1. Cannon, CP, Hand, MH, Bahr, R, et al. Critical pathways for management of patients with acute coronary syndromes: an assessment by the National Heart Attack Alert Program. American Heart Journal 2002; 143:777. Gibler, WB. Evaluation of chest pain in the emergency department. Annuals Internal Medicine 1995; 123:315. Field, J. Advanced Cardiovascular Life Support Provider Manual. American Heart Association, 2007. Henry, T, Unger, B, Sharkey, S, et al. Design of a standardized system for transfer of patients with ST-elevation myocardial infarction for percutaneous coronary intervention. American Heart Journal 2005; 373-384. Keeley, EC, Boura, JA, Grines, CL. Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review of 23 randomized trials. Lancet 2003; 361:13 Ornato, JP. Chest pain emergency centers: improving acute...[Please contact the primary investigator for additional references.]
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleImproving Outcomes for STEMI Patientsen_GB
dc.contributor.authorKratz, Annen_US
dc.contributor.authorReynolds, Lynnen_US
dc.author.detailsAnn Kratz, MSN, RN, APRN-BC, AP, Aurora Medical Center: Washington County, Hartford, Wisconsin, USA, email: ann.kratz@aurora.org; Lynn Reynolds, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/182523-
dc.description.abstractPoster Presentation: Background: Direct percutaneous coronary intervention (PCI) is the preferred method of reperfusion for ST-elevation myocardial infarction (STEMI). It has been difficult to achieve similar door-to-balloon times for transfer patients in the United States especially when the STEMI occurs in a community hospital that does not provide PCI. It is estimated that two thirds of patients with STEMI in the United States present to hospitals without cardiac catheterization labs. Purpose: This project was initiated by a Magnet Designated System to improve patient outcomes through interdisciplinary and inter-facility collaboration of a to ensure rapid and efficient transfer of patients with the diagnosis of STEMI from a community hospital to a tertiary care facility over 38 miles away. Sample/Setting: The initial setting was a rural community hospital with access to a tertiary site with a PCI lab. The sample size was limited to patients entering the emergency room with an ST myocardial infarction from 2005-2007. Methodology/Design: The evidence-based literature reviewed by the interdisciplinary team. The team conducted a retrospective chart review. The study interventions included partnering with the community EMS systems as well as the tertiary care facility. After the literature and retrospective review, the Emergency Room staff implemented protocols and guidelines to improve efficiency in diagnosis and transfer of STEMI patients. Results: The door to balloon times were reduced the first year from an average of 175 minutes to an average of 113 minutes. The door to transfer time after implementation was 45 minutes. The second year this time was further reduced to 32 minutes. The second year the door to EKG time for any patient presenting to the Emergency Department of the Rural Hospital was 5.6 minutes with a goal of less than ten minutes. Also, as result there was a significant decrease in cardiac damage as well as a decreased length of stay for STEMI ...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Alexander, KP, Newby, LK, Cannon, CP, et al. Acute coronary care in the elderly, part I: Non-ST-segment-elevation acute coronary syndromes: a scientific statement for healthcare professionals from the American Heart Association Council on Clinical Cardiology: in collaboration with the Society of Geriatric Cardiology. Circulation 2007; 115:2549. Alexander, KP, Newby, LK, Armstrong, PW, et al. Acute coronary care in the elderly, part II: ST-segment-elevation myocardial infarction: a scientific statement for healthcare professionals from the American Heart Association Council on Clinical Cardiology: in collaboration with the Society of Geriatric Cardiology. Circulation 2007; 115:2570. Antman, EM, Anbe, DT, Armstrong, PW, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction. Available at: www.acc.org/qualityandscience/clinical/statements.htm. Bassan, R, Pimenta, L, Scofano, M, et al. Probability stratification and systemic diagnostic approach for chest pain patients in the emergency department. Critical Pathways Cardiology 2004; 3:1. Cannon, CP, Hand, MH, Bahr, R, et al. Critical pathways for management of patients with acute coronary syndromes: an assessment by the National Heart Attack Alert Program. American Heart Journal 2002; 143:777. Gibler, WB. Evaluation of chest pain in the emergency department. Annuals Internal Medicine 1995; 123:315. Field, J. Advanced Cardiovascular Life Support Provider Manual. American Heart Association, 2007. Henry, T, Unger, B, Sharkey, S, et al. Design of a standardized system for transfer of patients with ST-elevation myocardial infarction for percutaneous coronary intervention. American Heart Journal 2005; 373-384. Keeley, EC, Boura, JA, Grines, CL. Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review of 23 randomized trials. Lancet 2003; 361:13 Ornato, JP. Chest pain emergency centers: improving acute...[Please contact the primary investigator for additional references.]en_GB
dc.date.available2011-10-28T15:28:02Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:28:02Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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