title: Providing reliable care for patients with emergent acute myocardial infarction.
abstract: Reducing inconsistency and variability in emergency care processes increases chances for survival. Development of consistent processes for early risk stratification of patients with acute coronary syndrome and provision of evidence-based therapy will reduce variability. A reproducible system of care for patients with acute coronary syndrome was developed. Results show that the current mean time to electrocardiogram was 9 minutes. The percent of patients receiving aspirin within 24 hours of arrival was 96%. Average door-to-reperfusion time was less than 90 minutes in 55% of patients. Reperfusion was accomplished by percutaneous coronary intervention for 92% of patients. Mortality for patients experiencing an acute myocardial infarction decreased 30%, from 8.9% in fiscal year 2003 to 6.2% in fiscal year 2007.
authors.affiliation: Via Christi Wichita Health Network, Wichita, KS, USA. swhqual@hotmail.com
authors.forename: Susan
authors.initials: S
authors.lastname: Hendrickson
mesh_terms: D001241:Aspirin / Q000627:therapeutic use*; D003695:Delivery of Health Care / Q000592:standards*; D004562:Electrocardiography; D004632:Emergency Medical Services / Q000592:standards*; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000188:drug therapy* / Q000401:mortality; D015425:Myocardial Reperfusion / Q000592:standards; D010343:Patient Admission; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use*; D017064:Process Assessment, Health Care / Q000379:methods; D011787:Quality of Health Care; D013997:Time Factors
chemical_list: D010975:Platelet Aggregation Inhibitors; D001241:Aspirin