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|a RC683.5.E5 S38 2014_SaxonKelly |2 BU-Local |
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|a Improving door-to-electrocardiogram times in patients who present to the emergency department with a chief complaint of chest pain |h [electronic resource]. |
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|a Miami, Fla. : |b Barry University, |c 2014. |
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|a viii, 69 leaves ; |c 28 cm |
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|a Barry University Dissertations -- College of Nursing and Health Sciences. |
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|a Thesis (DNP)--Barry University, 2014. |
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|a Includes bibliographical references (leaves 58-62). |
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|a 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. |
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|a 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. |
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|a Electronic reproduction. |c Barry University, |d 2020. |f (Barry University Digital Collections) |n Mode of access: World Wide Web. |n System requirements: Internet connectivity; Web browser software. |
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|a Barry University Archives and Special Collections. |
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|a Myocardial infarction. |
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|a Barry University Digital Collections. |
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|a Theses and Dissertations. |
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|a BUDC |c Theses and Dissertations |
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|u http://sobekcmsrv.barrynet.barry.edu/AA00001605/00001 |y Click here for full text |
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|a https:/budc.barry.edu/content/AA/00/00/16/05/00001/RC683_5_E5 S38 2014_SaxonKellythm.jpg |
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|a Theses and Dissertations |
