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Evidence-Based Best Practice Model for AMI
At Mission Hospitals (Asheville, North Carolina, USA), the Heart Service Line identified an opportunity to improve quality of care for the acute myocardial infarction (AMI) patient by analyzing the process of care delivery from Emergency Medical Service activation to discharge.
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Reliability Design: Improving Core Measure Performance for AMI Care
Baptist Memorial Hospital-Memphis (Memphis, Tennessee, USA) improved performance on acute myocardial infarction (AMI) core measures, specifically targeting smoking cessation advice/counseling and timeliness of door-to-PCI, by using a three-tier model to design reliability into care processes and by developing a culture of collaboration and improvement.
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Fast Track Protocol for ST-Elevation Myocardial Infarction (STEMI) to Minimize Treatment Delays
The Mayo Clinic's (Rochester, Minnesota, USA) Fast Track protocol for STEMI implemented a standard treatment protocol based on current guidelines and utilized lean and Six Sigma methodologies to improve clinical care processes.
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Improving Acute Myocardial Infarction Reliability and Outcomes
St. Joseph Hospital (Orange, California, USA) has improved their overall composite score from 91 percent (1Qtr.04) to 98 percent (2Qtr.05), and their all-or-none reliability from 83 percent (Jan 2005) to 96 percent (May-Jun 2005) respectively, by implementing AMI pathways in the Emergency Department, enhancing triage for atypical presentations, expediting Cath Lab call-back process flow, using redundancy checks for evidence-based therapies, and creating default counseling for first- or second-hand smoking cessation.
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Improving Outcomes for Acute Myocardial Infarction Patients
DuBois Regional Medical Center (DuBois, Pennsylvania, USA) has improved the acute myocardial infarction (AMI) composite score from 89.4 to 91.7, and 100 percent of patients with an ST elevated myocardial infarction had a door to balloon inflation time within 120 minutes (an increase from 62 percent in FY04).
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When Every Minute Counts: Improving Heart Attack Care
Each year, more than a million Americans have a heart attack — also known as an acute myocardial infarction, or AMI. A third of them don’t survive. Underlying factors, such as coronary heart disease (America’s number one killer), affect survival rates. But the outcome is also highly dependent on what happens in the crucial first minutes of the episode.
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Pursuing Perfection: Report from McLeod Regional Medical Center on Improving AMI Care
Every year, an estimated 1.1 million people in the United States are diagnosed with an AMI, and approximately 350,000 of these patients die during the acute phase. Speed is essential in the initial care of AMI patients. With lessons from Pursuing Perfection to guide their work, McLeod Regional Medical Center (Florence, South Carolina, USA) leaders chose to set a 90-minute goal for reperfusion.
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Report from Hackensack University Medical Center on Improving Acute Myocardial Infarction (AMI) Care
As part of Pursuing Perfection, Hackensack University Medical Center has decided to focus on improving a wide range of care processes, the centerpiece of which is making their care of patients with acute myocardial infarction more reliable and focused on improved outcomes.
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