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Titolo:
Reducing time delay in the thrombolysis of myocardial infarction: An internal quality improvement project
Autore:
Saturno, PJ; Felices, F; Segura, J; Vera, A; Rodriguez, JJ;
Indirizzi:
Univ Murcia, Sch Med, Espinardo Murcia 30100, Spain Univ Murcia EspinardoMurcia Spain 30100 , Espinardo Murcia 30100, Spain Univ Gen Hosp, Intens Care Unit, Murcia, Spain Univ Gen Hosp Murcia Spain iv Gen Hosp, Intens Care Unit, Murcia, Spain Hosp Carlos Haya, Intens Care Unit, Malaga, Spain Hosp Carlos Haya Malaga Spain los Haya, Intens Care Unit, Malaga, Spain
Titolo Testata:
AMERICAN JOURNAL OF MEDICAL QUALITY
fascicolo: 3, volume: 15, anno: 2000,
pagine: 85 - 93
SICI:
1062-8606(200005/06)15:3<85:RTDITT>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
THERAPY;
Keywords:
acute myocardial infarction; in-hospital delay; statistical process control; thrombolysis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Saturno, PJ Univ Murcia, Sch Med, Espinardo Murcia 30100, Spain Univ Murcia Espinardo Murcia Spain 30100 Murcia 30100, Spain
Citazione:
P.J. Saturno et al., "Reducing time delay in the thrombolysis of myocardial infarction: An internal quality improvement project", AM J MED QU, 15(3), 2000, pp. 85-93

Abstract

The objectives of this study were to improve thrombolytic therapy in acutemyocardial infarction by reducing the "door-to-needle" time in a 285-bed university hospital in Spain. A quality management approach was used involving all the relevant staff. Target standard was set at 35 minutes. Baseline data, intervention effect, and continuous monitoring were analyzed using x control charts. Analysis of baseline data showed a wide out of-control variation and 72 minutes' average delay. Cause analysis revealed organizationaland clinical problems that were subjected to intervention. Postintervention data showed a stable process, with an average of 30 minutes. Continuous monitoring showed further improvement in average time and predictable variation. The template of the current control chart has an average of 26 minutes. Quality management methods, particularly staff involvement in problem analysis and intervention design, and the use of control charts were useful tounderstand, solve, and continuously monitor an important clinical problem whose existence was evident only after it was measured.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 08:35:41