Improvement Project to reduce wait-times for initial ECG examination for chest pain patients presenting in ED

2.50
Hdl Handle:
http://hdl.handle.net/10755/307893
Category:
Abstract
Type:
Presentation
Title:
Improvement Project to reduce wait-times for initial ECG examination for chest pain patients presenting in ED
Author(s):
Tsai, Su-Chen; Yu, Li-Hsnan
Lead Author STTI Affiliation:
Non-member
Author Details:
Su-Chen Tsai, RN, maggie.cutekoala@gmail.com; Li-Hsnan Yu, RN
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

ABSTRACT

ECG (Electrocardiograph) examination is the critical step for Emergency Department (ED) physicians to determine if chest pain poses a life-threatening condition prior to medical decisions and treatment. According to Taiwan’s national “Hospital Emergency Medical Care Capability Rating Standard,” the first ECG examination should be conducted in less than ten minutes for 70% of chest pain patients who present in the ED. Prior to the formation of an interdisciplinary team approach, the average performance of the ED was 17.9 minutes, and only 50% of patients presenting chest pain received an ECG examination in less than ten minutes. To improve ED performance in administering ECG examinations, a interdisciplinary team consisting of physicians and nurses from Cardiology and Emergency departments was formed to improve processes, appropriately adjust human resources, acquire additional equipment, and distribute ECG examination results in real-time to on duty attending cardiology physicians' mobile devicesUpon implementation of these new procedures, the average time for ECG examination has been reduced to 8.9 minutes with 75.4% of chest pain patients receiving the examination in less than ten minutes. In addition, the project reduced the median time of door to balloon (D2BT) for acute ST segment elevation myocardial infarction (STEMI) patients to 68 minutes. Overall, 81% of STEMI patients achieve D2BT in less than 90 minutes, which exceeds the 75% in 90 minutes current treatment guideline recommendation for quality of care requirement in Taiwan.

Keywords:
ECG; Emergency Chest Pain
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleImprovement Project to reduce wait-times for initial ECG examination for chest pain patients presenting in EDen_GB
dc.contributor.authorTsai, Su-Chenen_GB
dc.contributor.authorYu, Li-Hsnanen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsSu-Chen Tsai, RN, maggie.cutekoala@gmail.com; Li-Hsnan Yu, RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/307893-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p><b>ABSTRACT</b><p>ECG (Electrocardiograph) examination is the critical step for Emergency Department (ED) physicians to determine if chest pain poses a life-threatening condition prior to medical decisions and treatment. According to Taiwan’s national “Hospital Emergency Medical Care Capability Rating Standard,” the first ECG examination should be conducted in less than ten minutes for 70% of chest pain patients who present in the ED. Prior to the formation of an interdisciplinary team approach, the average performance of the ED was 17.9 minutes, and only 50% of patients presenting chest pain received an ECG examination in less than ten minutes. To improve ED performance in administering ECG examinations, a interdisciplinary team consisting of physicians and nurses from Cardiology and Emergency departments was formed to improve processes, appropriately adjust human resources, acquire additional equipment, and distribute ECG examination results in real-time to on duty attending cardiology physicians' mobile devices<span color="#008000">. </span>Upon implementation of these new procedures, the average time for ECG examination has been reduced to 8.9 minutes with 75.4% of chest pain patients receiving the examination in less than ten minutes. In addition, the project reduced the median time of door to balloon (D2BT) for acute ST segment elevation myocardial infarction<span color="#008000"> </span>(STEMI) patients to 68 minutes. Overall, 81% of STEMI patients achieve D2BT in less than 90 minutes, which exceeds the 75% in 90 minutes<span color="#008000"> </span>current treatment guideline recommendation for quality of care requirement in Taiwan.en_GB
dc.subjectECGen_GB
dc.subjectEmergency Chest Painen_GB
dc.date.available2013-12-19T17:23:44Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:23:44Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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