Effectiveness evaluation and quality control strategy at primary-level chest pain centers
10.3760/cma.j.cn114798-20200312-00280
- VernacularTitle:基层胸痛中心建设效果评价及质控策略
- Author:
Hailong ZHOU
1
;
Weizheng FENG
;
Haiyang LI
;
Lisha JIN
;
Lijing QIAN
;
Xiaoling ZHU
;
Yanli ZHOU
;
Xiaoying ZHANG
Author Information
1. 上海市嘉定区南翔医院 201802
- From:
Chinese Journal of General Practitioners
2020;19(5):434-437
- CountryChina
- Language:Chinese
-
Abstract:
The real-time reported data of treated patients from July 2017 to June 2019 Nanxiang Hospital of Jiading District were collected from chest pain center platform. The results showed that the average time of completing ECG examination from the first medical contact was 1.3 to 6.9 min with a median of 1.9 min (1.7, 2.2), meeting the quality control requirements (10 min); the time required to obtain troponin test results was 13.0 to 48.4 min with a median of 14.1 min (13.4, 18.1), meeting the requirements for quality control of 20 min; time from entry to transfer out of PCI patients was 19.0-100.0 min, with median 37.2 (29.3, 66.6) min, basically reaching quality control (30 min); the entering catheter chamber rate of STEMI patients was 50.0% to 100.0% with a median of 100.0% (73.3%, 100.0%), meeting the requirements of quality control (≥50%). Through the active construction, the main quality control indicators were well reached, the reported cases were basically stable, and the disease distribution was basically reasonable in the primary-level chest pain centers. Informed notification of transshipment and subsequent management of low-risk chest pain patients need to be further strengthened. It is suggested that the construction of chest pain centers should establish long-term normal working mechanism, strengthening the control of key quality control indicators, to play the important role of the regional treatment system.
