title: Design of a comprehensive chest pain initiative in an academic urban hospital.
abstract: We describe the development and institution of an initiative based on a clinical diagnostic algorithm and treatment pathways, facilitated by cardiac nurse practitioners, for the treatment of the diverse group of patients with chest pain who seek treatment at our urban-based institution. We believe that our chest pain initiative incorporates previous strategies of rapid emergency department management with inpatient-based care while providing a framework for outpatient follow-up and secondary prevention. These strategies allow our hospital to meet its goals of providing chest pain patients with standardized, high-quality, and expeditious care, given the challenges faced by an academic urban hospital.
authors.affiliation: Columbia Presbyterian Medical Center, New York Presbyterian Hospital, New York, NY, USA.
authors.forename: Angelo B
authors.initials: AB
authors.lastname: Biviano
authors.forename: Steven R
authors.initials: SR
authors.lastname: Bergmann
authors.forename: Joseph
authors.initials: J
authors.lastname: Tenenbaum
authors.forename: Jennifer
authors.initials: J
authors.lastname: Sullivan
authors.forename: Eileen
authors.initials: E
authors.lastname: Hurley
authors.forename: James
authors.initials: J
authors.lastname: Giglio
authors.forename: Leroy E
authors.initials: LE
authors.lastname: Rabbani