A hospital measures the time from emergency department arrival to percutaneous coronary intervention for ST-elevation myocardial infarction patients. The target is a door-to-balloon time of less than 90 minutes. Over the past 6 months, the median door-to-balloon time is 110 minutes. A quality improvement team identifies that the main delay occurs during the 40-minute average time between ED physician ECG interpretation and cardiology team activation. Which of the following is the most effective intervention?
- A)Allow ED physicians to activate the cardiac catheterization lab directly without cardiology consultationGABARITO
- B)Add an additional cardiology fellow to the on-call schedule
- C)Reduce the ECG interpretation time by purchasing faster ECG machines
- D)Require all STEMI patients to be seen by a cardiologist before catheterization lab activation
- E)Implement a quality dashboard displaying door-to-balloon times in the ED
Explicação
Enabling ED physicians to activate the catheterization lab directly (single-call activation) eliminates the bottleneck between ECG interpretation and team activation. This protocol change has been shown to significantly reduce door-to-balloon times by removing... Ver explicação completa e trilha adaptativa →