QualityProject Thrombolytics for MI

From Clinfowiki
Revision as of 23:41, 16 September 2007 by Davedorr (Talk | contribs)

(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)
Jump to: navigation, search

Problem Statement

Scope of problem

Timeliness of administration of ‘clot-busting’ drugs in heart attack can save lives, yet time to administration may be too long. 1.1 million people have heart attacks, or myocardial infarctions each year in the US. Two lives per 1000 are lost per hour of delay, so reducing to ½ hour could save thousands of lives.

Recommendation: Mean time to thrombolysis should be < 30 minutes from hospital arrival for heart attack patients. [1]

Setting: Emergency Department

Aims: To improve heart attack treatment for patients entering the emergency department.

Specific Goal: Mean time to thrombolysis < 30 minutes from hospital arrival for heart attack patients in next 6 months.

Process and Prioritization

Process Affected : Arrival in Emergency Department to Administration of Thrombolytic

Measure(s) : Time from arrival in Emergency Department to Administration of Thrombolytic


Intervention

Plan

Create semi-automated paging system when ECG shows sign of heart attack.

Do

Implement for 1 month in ED.

Study

Measure time to thrombolytic.

Act

Implement permanently if works.

Reference

Be sure to reference your work.

1. http://www.qualitytools.ahrq.gov/qualityreport/download/download_report.aspx

Return to Quality Informatics