[Cross-Team Collaboration Shortens Percutaneous Coronary Intervention Time for STEMI Patients Transferred via Emergency Medical Services].
Hu li za zhi The journal of nursing · 2025-05-27 · Implementation & quality improvement
Abstract
BACKGROUND & PROBLEMS: Time of catheterization is a critical variable for patients with ST-elevation myocardial infarction (STEMI), as delays can adversely impact treatment outcomes. Therefore, collaboration across care teams and medical disciplines is necessary to support optimal care outcomes. An analysis found that Emergency Medical Services is used to transfer over 60% of STEMI patients in our hospital; average total time from ambulance arrival to catheterization is 127 minutes and 55 seconds; and average door-to-wire (D2W) time is 108 minutes and 25 seconds. PURPOSE: This project was developed to shorten the D2W time for STEMI patients transferred to the emergency department via Emergency Medical Services to under 90 minutes. RESOLUTION: To shorten the catheterization intervention time, several measures were implemented. The treatment process assessment was revised, a cross-team messaging group was established, the importance of pre-hospital electrocardiograms was promoted, feedback on patient outcomes was provided, commonly used STEMI medication availability was increased, elevator waiting time was reduced, and a pre-catheterization medical procedure timeline and evaluation mechanism were created. RESULTS: After the implementation of all of the measures, the average D2W time was reduced from 108 minutes and 25 seconds to 33 minutes and 40 seconds. CONCLUSIONS: Based on the results of this project, future efforts to shorten catheterization intervention time should focus on integrating interdisciplinary teams and enhancing pre-hospital functions.
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Tags
ECG transmission · Implementation · Interagency collaboration · Time intervals
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