Effects of target value management for quality control indexes in chest pain center on efficiency and effectiveness of in-hospital treatment for STEMI patients
10.3760/cma.j.issn.1671-0282.2019.04.020
- VernacularTitle:胸痛中心质控指标目标值管理对STEMI患者院内救治效率和效果的影响
- Author:
Peng LIU
1
;
Fan LIN
;
Jinxia ZHANG
;
Dingcheng XIANG
;
Jianhong DOU
;
Youqing TANG
Author Information
1. 广州军区广州总医院
- Keywords:
Chest pain center;
Quality control;
Target value management;
Efficiency of in-hospital treatment;
D2B time;
FMC2ECG time;
Catheter lab activation time
- From:
Chinese Journal of Emergency Medicine
2019;28(4):498-503
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of target value management for quality control indexes in chest pain center on the efficiency and effectiveness of in-hospital treatment for STEMI patients.Methods The database of Chest Pain Center in General Hospital of Guangzhou Military Command was retrospectively analyzed.STEMI patients who visited our hospital from March 2011 to March 2018 were selected as the research subjects.During the review period,the target values of quality control indexes were adjusted 4 times.Before and after the 4 adjustment,the efficiency indexes of in-hospital treatment STEMI patients were compared,including the first medical contact to the first electrocardiogram (FMC2ECG) time,catheter lab activation time and Door-to-Balloon (D2B) time.Length of hospital stay,in-hospital mortality and hospitalization cost were compared as well.Results A total of 332 STEMI patients were included in the study.As the quality control target values became stricter,the median and the average value of FMC2ECG time,catheter lab activation time and D2B time showed a downward trend.Among these data,the D2B time decreased from 95 (74,134.5) min to 50 (44.5,71) min,and its differences were of the most significance.However,there is no significant difference in the hospitalization cost,length of hospital stay and in-hospital mortality of STEMI patients.Conclusions The target value management of quality control indexes can improve the in-hospital treatment efficiency for STEMI patients,but the improvements of treatment efficiency and effectiveness cannot be immediately revealed.It takes a certain amount of time and needs enough cases to reach a significant difference.
