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Implementation of a New Enhanced Chest Pain Protocol to Reduce Emergency Room Care Delay
Başlık:
Implementation of a New Enhanced Chest Pain Protocol to Reduce Emergency Room Care Delay
Yazar:
Iroakazi, Cecilia Adaugo Jovita, author.
ISBN:
9780438129948
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (142 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 79-11(E), Section: B.
Advisors: Rhonda Johnston Committee members: Pauline Clarke.
Özet:
Chest pain is a common emergency department (ED) patient complaint. Electrocardiogram (ECG) acquisition is the first test administered to determine suitable treatment options for chest pain. To avoid delays encountered with treatment initiation, the implementation of an enhanced chest pain protocol may improve door-to-ECG-time, treatment, admission, and discharge. This quantitative correlational design project compared the old chest pain protocol to the enhanced chest protocol in terms of decreasing ECG acquisition timing to meet the American Heart Association (AHA) 10 minutes' door-to- ECG standard. This project was conducted at an inner-city community hospital ED that serves the Washington DC Metropolitan area. The framework used to guide this project was the Virginia Henderson's theory of human need and Kurt Lewin's change theory. A two-month chart review was performed, one month before the initiation of a new protocol and one month after the initiation of the new protocol. Pre and post implementation charts reviewed were 90 from each protocol. The data collection includes male and female ages 18 years and above admitted through the ED with complaints of chest pain. Results revealed mean time of 76.5 minutes (SD = 27.39 ) for the old chest pain protocol for ECG acquisition and mean time of 21.04 minutes (SD = 10.01) with the new enhanced protocol for ECG acquisition. The result was statistically significant p < 0.05). This suggests that the enhanced protocol should be implemented to reduce time to ECG acquisition for patients presenting with chest pain.
Notlar:
School code: 1582
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
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XX(695092.1) | 695092-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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