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Regional systems of care demonstration project: Mission: Lifeline STEMI Systems Accelerator: design and methodology.
Bagai A, Al-Khalidi HR, Sherwood MW, Muñoz D, Roettig ML, Jollis JG, Granger CB
(2014) Am Heart J 167: 15-21.e3
MeSH Terms: American Heart Association, Cardiology Service, Hospital, Delivery of Health Care, Integrated, Efficiency, Organizational, Emergency Medical Services, Health Services Research, Humans, Myocardial Infarction, Outcome Assessment, Health Care, Regional Health Planning, Research Design, United States, Urban Health Services
Show Abstract · Added March 7, 2014
ST-segment elevation myocardial infarction (STEMI) systems of care have been associated with significant improvement in use and timeliness of reperfusion. Consequently, national guidelines recommend that each community should develop a regional STEMI care system. However, significant barriers continue to impede widespread establishment of regional STEMI care systems in the United States. We designed the Regional Systems of Care Demonstration Project: Mission: Lifeline STEMI Systems Accelerator, a national educational outcome research study in collaboration with the American Heart Association, to comprehensively accelerate the implementation of STEMI care systems in 17 major metropolitan regions encompassing >1,500 emergency medical service agencies and 450 hospitals across the United States. The goals of the program are to identify regional gaps, barriers, and inefficiencies in STEMI care and to devise strategies to implement proven recommendations to enhance the quality and consistency of care. The study interventions, facilitated by national faculty with expertise in regional STEMI system organization in partnership with American Heart Association representatives, draw upon specific resources with proven past effectiveness in augmenting regional organization. These include bringing together leading regional health care providers and institutions to establish common commitment to STEMI care improvement, developing consensus-based standardized protocols in accordance with national professional guidelines to address local needs, and collecting and regularly reviewing regional data to identify areas for improvement. Interventions focus on each component of the reperfusion process: the emergency medical service, the emergency department, the catheterization laboratory, and inter-hospital transfer. The impact of regionalization of STEMI care on clinical outcomes will be evaluated.
© 2014.
0 Communities
1 Members
0 Resources
13 MeSH Terms
Prevention of torsade de pointes in hospital settings: a scientific statement from the American Heart Association and the American College of Cardiology Foundation.
Drew BJ, Ackerman MJ, Funk M, Gibler WB, Kligfield P, Menon V, Philippides GJ, Roden DM, Zareba W, American Heart Association Acute Cardiac Care Committee of the Council on Clinical Cardiology, Council on Cardiovascular Nursing, American College of Cardiology Foundation
(2010) J Am Coll Cardiol 55: 934-47
MeSH Terms: Cardiology Service, Hospital, Critical Care, Electrocardiography, Humans, Monitoring, Physiologic, Societies, Medical, Societies, Nursing, Torsades de Pointes, United States
Added June 26, 2014
0 Communities
1 Members
0 Resources
9 MeSH Terms