[Measurement of care time in patients with acute myocardial infarction admitted to a general ICU: evaluation and improvement].
Acute myocardial infarction (AMI) requires early and safe nursing care, particularly with respect to initiating and following up thrombolytic treatment, the most effective therapy according to the literature. Time is decisive. Recommended door-to-needle time should not exceed 35 minutes (from patient's arrival to injection of the thrombolytic agent in the ICU). This quality of care study centered on the measurement of four partial times and their sum. These times corresponded to different phases a patient with AMI undergoes from arrival at the hospital emergency room center to thrombolysis in the ICU. The intrahospital delay in patient care was examined. Times were recorded on a specific register of all patients with priority I AMI (clear criteria for fibrinolysis) who were seen at our center. Total time to fibrinolysis in the ICU was 60 minutes (excessive intrahospital delay). A corrective intervention plan was designed and implemented, which reduced the delay to an acceptable 30 minutes. This improved the quality of care of AMI patients at our center.
Rodríguez Mondéjar
J J
JJ
UCI. Hospital General Universitario de Murcia Avda Intendente Jorge Palacios, no. 1 30003 Murcia.
Clavel Amo
M
M
Cevidanes Lara
M M
MM
Sánchez Ruiz
J
J
Díaz Chicano
J F
JF
Valbuena Moya
R M
RM
D000208:Acute Disease; D000289:Admitting Department, Hospital / Q000706:statistics & numerical data; D006801:Humans; D007362:Intensive Care Units; D009203:Myocardial Infarction / Q000628:therapy*; D010343:Patient Admission / Q000706:statistics & numerical data; D013997:Time Factors