Towards excellence in quality patient care: a clinical pathway for myocardial infarction.
A major initiative to implement a clinical pathway for myocardial infarction has provided a model on which to further develop pathways within our organization. Two of the primary objectives were to reduce time to thrombolysis and length of stay. Two years after the implementation of the myocardial infarction pathway there has been a reduction in the thrombolysis times from 80 to 49 min and in length of stay from 7.28 to 6.13 days. These results highlight significant improvements in patient and process outcomes. There is heightened awareness about best practice for patients who have sustained myocardial infarctions.
Department of Medicine, Middlemore Hospital, Otahuhu, Auckland, New Zealand.
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DM
Smith
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Gow
D019091:Critical Pathways; D006746:Hospital Bed Capacity, 500 and over; D006784:Hospitals, Teaching / Q000592:standards; D006801:Humans; D007902:Length of Stay; D009203:Myocardial Infarction / Q000628:therapy*; D009520:New Zealand; D009731:Nursing Audit; D009741:Nursing Staff, Hospital / Q000193:education; D017063:Outcome Assessment, Health Care; D016730:Program Development; D015912:Thrombolytic Therapy; D013997:Time Factors