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Thesis/Dissertation Information
- Degree Disciplines:
- Nursing
Notes
- Abstract:
- The objective of this project was to describe door-to-electrocardiogram (EKG) acquisition and to identify critical factors that improve times and those that cause delays in patients who present to the emergency department with the chief complaint of chest pain. The identified South Florida hospital’s emergency department protocol for conducting EKGs was examined and evaluated based on the guidelines established by the American Heart Association for patients with chest pain to receive an electrocardiogram within 10 minutes or less of arriving at the hospital. An assessment was completed by looking at the infrastructure of this emergency department unit’s equipment, current triage process, ED nurses and technicians, competency of staff members in performing and interpreting electrocardiograms, current EKG times, and patient outcomes. 50 retrospective de-identified patient chart reviews were performed from January 2012 through October 2013 with only one patient meeting the American Heart Association protocol. Therefore, this study placed emphasis on developing and implementing a policy that improves door-to-electrocardiogram times, providing the appropriate EKG education for staff, and improving the overall quality of patient healthcare delivery and outcomes. Thus, an EKG prioritization rule is needed to rapidly identify and expedite the triage of emergency department walk-in chest pain patients. If this identified emergency department can achieve the recommended American Heart Association guidelines for door-to-electrocardiogram times with specific process design efforts, that will eliminate delays in conducting an EKG so the mortality rate of cardiac patients will be reduced by receiving timely reperfusion therapy.
- Thesis:
- Thesis (DNP)--Barry University, 2014.
- Bibliography:
- Includes bibliographical references (leaves 58-62).
Record Information
- Source Institution:
- Barry University
- Holding Location:
- Barry University Archives and Special Collections
- Rights Management:
- Copyright Kelly Saxon. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
- Resource Identifier:
- RC683.5.E5 S38 2014_SaxonKelly ( BU-Local )
- Classification:
- RC683.5.E5 S38 2014 ( lcc )
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