Strengthening emergency care systems to improve patient care for ST-elevation myocardial infarction (STEMI) at a high-volume tertiary care centre in India.
Bharath GopinathAkshay KumarRajesh SahSanjeev BhoiNayer JamshedMeera EkkaPraveen AggarwalAshok DeorariBalram BhargavaVignan KappagantuPublished in: BMJ open quality (2022)
Significant improvement in the door to reperfusion time resulted from a meticulous assessment of emergency care processes by drawing process flow chart and implementation of change ideas like introduction of fast-track policy for patients with chest pain, reducing staff turnover in the triage area, formal training of staff, continuous engagement with cardiology team and by interchanging of processes which led to a reduction in time to ECG.
Keyphrases
- st elevation myocardial infarction
- healthcare
- percutaneous coronary intervention
- quality improvement
- emergency department
- public health
- palliative care
- tertiary care
- acute myocardial infarction
- st segment elevation myocardial infarction
- primary care
- acute coronary syndrome
- pain management
- coronary artery disease
- heart rate variability
- cardiac surgery
- heart rate
- heart failure
- bone mineral density
- affordable care act
- blood pressure
- health insurance