Randomized Trial of a Quality Improvement Intervention to Decrease D2B Time in Primary PCI for AMI
| Status: | Completed |
|---|---|
| Conditions: | Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 12/17/2017 |
| Start Date: | September 2003 |
| End Date: | December 2006 |
Randomized Trial of Aggressive Process of Care Quality Improvement Intervention to Decrease Door to Balloon Time in Primary PCI for Acute Myocardial Infarction
The primary objective of this study is to assess whether an aggressive quality improvement
intervention strategy will decrease time from hospital presentation to first balloon
inflation in non-transfer patients with acute ST segment elevation MI (STEMI) treated with
primary percutaneous coronary intervention (PCI). Twelve hospitals in Michigan were
randomized to either aggressive intervention or control. The intervention consisted of Grand
Rounds at each hospital, sharing of best practices, and coordinating center staff working
closely with staff at each intervention hospital to discuss solutions to barriers to rapid
treatment for STEMI patients.
intervention strategy will decrease time from hospital presentation to first balloon
inflation in non-transfer patients with acute ST segment elevation MI (STEMI) treated with
primary percutaneous coronary intervention (PCI). Twelve hospitals in Michigan were
randomized to either aggressive intervention or control. The intervention consisted of Grand
Rounds at each hospital, sharing of best practices, and coordinating center staff working
closely with staff at each intervention hospital to discuss solutions to barriers to rapid
treatment for STEMI patients.
The participating hospitals randomized to the aggressive intervention strategy actively
worked to create teams to analyze processes of care for STEMI patients, identify areas
needing improvement, and implemented strategies to streamline treatment.
Hospitals randomized to control were instructed to conduct "business as usual".
worked to create teams to analyze processes of care for STEMI patients, identify areas
needing improvement, and implemented strategies to streamline treatment.
Hospitals randomized to control were instructed to conduct "business as usual".
Inclusion Criteria:
- Acute ST segment myocardial infarction, non transfer patients, with symptom onset to
balloon time less than or equal to 24 hours.
Exclusion Criteria:
- Patients transferred from one facility to another,
- non ST segment myocardial infarction patients.
We found this trial at
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University of Michigan The University of Michigan was founded in 1817 as one of the...
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