1.Improving door-to-balloon times in primary percutaneous coronary intervention for acute ST-elevation myocardial infarction: the value of an audit-driven quality initiative.
Rabind A CHARLES ; Shiou Liang WEE ; Bernard W K KWOK ; Caren TAN ; Swee Han LIM ; Venkataraman ANANTHARAMAN ; Wasantha HEMANTHAKUMARI ; Terrance S J CHUA
Annals of the Academy of Medicine, Singapore 2008;37(7):568-572
INTRODUCTIONThe study was designed to reduce door-to-balloon times in primary percutaneous coronary intervention for patients presenting to the Emergency Department with acute ST-elevation myocardial infarction, using an audit as a quality initiative.
MATERIALS AND METHODSA multidisciplinary work group performed a pilot study over 3 months, then implemented various process and work-flow strategies to improve overall door-to-balloon times.
RESULTS AND CONCLUSIONWe developed a guideline-based, institution-specific written protocol for triaging and managing patients who present to the Emergency Department with symptoms suggestive of STEMI, resulting in shortened median door-to-balloon times from 130.5 to 109.5 minutes (P<0.001).
Angioplasty, Balloon, Coronary ; Emergency Service, Hospital ; statistics & numerical data ; utilization ; Health Care Surveys ; Humans ; Medical Audit ; Myocardial Infarction ; physiopathology ; therapy ; Pilot Projects ; Program Development ; Quality Indicators, Health Care ; Quality of Health Care ; Singapore ; Time Factors ; Triage
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