英文摘要 |
ECG (electrocardiogram) is the most effective and convenient non-invasive test for physicians to use in the diagnosis of acute coronary artery syndrome. ECG tests should be done as soon as possible for patients with chest pain; thereafter, physicians may make intervention decisions based on different possible diagnoses from the ECG test results. A ccording to the Hospital Emergency Medical Capability Classification Standard, an ECG should be done within 10 minutes for 70% of chest pain patients on their arrival to the ED (emergency department). However, in the hospital where the author worked, only 50.9% of patients with chest pain received door-to-ECG within 10 minutes, with an average of 17.9 minutes. The improvement project entailed establishing an interdisciplinary team, improving the process workflow, adjusting the workforce structure, purchasing more ECG equipment, and building an information technology system for further improvement. With these measures, 81% of patients with chest pain obtained door-to-ECG test within 10 minutes. The average time shortened to 8.6 minutes. The bonus benefits of this project included greater coordination among disciplinary team members and the formation of a communication system that would promote patient safety. |