Hdl Handle:
http://hdl.handle.net/10147/128274
Title:
HeartBeat--improving heart attack care
Authors:
Jennings, S; Bennett, K; Cavanagh, B
Affiliation:
Health Service Executive (HSE), Dr. Steevens' Hospital
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Jan-2011
URI:
http://hdl.handle.net/10147/128274
Item Type:
Article
Language:
en
Description:
We aimed to save lives by assuring best practice in ST elevation myocardial infarction (STEMI) through initiating the Institute for Healthcare Improvement (IHI) methodology nationally. Following collection of a minimum dataset, annual change in indicators in the five initiating hospitals for the period Oct 2006 and Sept 2009 was assessed by analysing the percentage of patients receiving the eight components of evidenced based care on admission and discharge and in-hospital mortality rate. For 635 patients, performance on seven of the eight indicators of care exceeded 90% annually. Timely reperfusion therapy (thrombolysis, primary percutaneous coronary intervention (PPCI)) improved non-significantly from 68.2% (107 patients) in year 1 to 77.1% (118 patients) in year 3. In-hospital mortality declined significantly from 12.4% (24 deaths) in year 1 to 5% (9 deaths) in year 3. Evidence based STEMI care is followed to a high degree but timely reperfusion and PPCI provision remain a challenge nationally.
Keywords:
HEART DISEASE; MYOCARDIAL INFARCTION
Sponsors:
Reproduced with permission from Irish Medical Journal

Full metadata record

DC FieldValue Language
dc.contributor.authorJennings, Sen
dc.contributor.authorBennett, Ken
dc.contributor.authorCavanagh, Ben
dc.date.accessioned2011-04-18T09:47:13Z-
dc.date.available2011-04-18T09:47:13Z-
dc.date.issued2011-01-
dc.identifier.urihttp://hdl.handle.net/10147/128274-
dc.descriptionWe aimed to save lives by assuring best practice in ST elevation myocardial infarction (STEMI) through initiating the Institute for Healthcare Improvement (IHI) methodology nationally. Following collection of a minimum dataset, annual change in indicators in the five initiating hospitals for the period Oct 2006 and Sept 2009 was assessed by analysing the percentage of patients receiving the eight components of evidenced based care on admission and discharge and in-hospital mortality rate. For 635 patients, performance on seven of the eight indicators of care exceeded 90% annually. Timely reperfusion therapy (thrombolysis, primary percutaneous coronary intervention (PPCI)) improved non-significantly from 68.2% (107 patients) in year 1 to 77.1% (118 patients) in year 3. In-hospital mortality declined significantly from 12.4% (24 deaths) in year 1 to 5% (9 deaths) in year 3. Evidence based STEMI care is followed to a high degree but timely reperfusion and PPCI provision remain a challenge nationally.en
dc.description.sponsorshipReproduced with permission from Irish Medical Journalen
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectHEART DISEASEen
dc.subjectMYOCARDIAL INFARCTIONen
dc.titleHeartBeat--improving heart attack careen
dc.typeArticleen
dc.contributor.departmentHealth Service Executive (HSE), Dr. Steevens' Hospitalen
dc.identifier.journalIrish Medical Journalen
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