My Organization 's ' Door At Electrocardiogram ' Data From A National Registries And Clinical Practice Guidelines

1347 WordsDec 1, 20166 Pages
This paper will address ‘door to electrocardiogram’ times for acute coronary syndrome patients presenting to the emergency department, utilizing quality improvement competencies created by the Quality and Safety Education for Nurses Institute (2014) to improve patient care. The American College of Cardiology supports quality improvement by developing national registries and clinical practice guidelines. An analysis of my organization’s ‘door to electrocardiogram’ data from January 2014 to June 2016, identifies an opportunity to implement process improvements. Following a discussion of the data regarding this measure, I will discuss the implementation of a process change, a second solution to address the issue, and the valuable lessons learned while conducting this process improvement project. Acute coronary syndrome encompasses patients diagnosed with unstable angina, non-ST elevation myocardial infarction, and ST-elevation myocardial infarction (Amsterdam et al., 2014). Per the American College of Cardiology (2014), a rapid evaluation to identify life-threatening cardiac conditions is imperative for patients presenting to emergency departments with symptoms of acute coronary syndrome and an electrocardiogram is an essential tool for diagnosis (Amsterdam et al., 2014). Patients with ST-elevation myocardial infarction have a 7.4% increase in risk of mortality with every half-hour that passes before implementing appropriate reperfusion therapy (Omar, Helal, Mangar,
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