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The impact of emergency department structure and care processes in delivering care for non-ST-segment elevation acute coronary syndromes.

Publication ,  Journal Article
Mehta, RH; Newby, LK; Patel, Y; Hoekstra, JW; Miller, CD; Chen, AY; Lytle, BL; Diercks, DB; Summers, RL; Brogan, GX; Peacock, WF; Pollack, CV ...
Published in: Am Heart J
October 2006

BACKGROUND: We sought to assess the influence of emergency department (ED) structure and care processes on adherence to practice guidelines for the treatment of patients with non-ST-segment elevation acute coronary syndromes. METHODS: We surveyed emergency physicians and nurses from 316 hospitals participating in the CRUSADE Quality Improvement Initiative and used multivariable modeling to correlate ED-specific characteristics with guidelines adherence. RESULTS: Factors that were significantly associated with improved guidelines adherence included collaboration between emergency physicians and hospital administration, northeast region, adequate nursing support, use of locum tenens physicians, an independent ED (not a division of another clinical department), and use of a care algorithm for acute coronary syndromes. CONCLUSIONS: Quality improvement strategies that have the full support of hospital administration, focus on increasing collaboration between emergency physicians and other health care providers, and specified protocol-driven management algorithm may be the most successful methods for improving the care and outcomes of patients with non-ST-segment elevation acute coronary syndromes.

Duke Scholars

Published In

Am Heart J

DOI

EISSN

1097-6744

Publication Date

October 2006

Volume

152

Issue

4

Start / End Page

648 / 660

Location

United States

Related Subject Headings

  • Syndrome
  • Surveys and Questionnaires
  • Quality Assurance, Health Care
  • Practice Guidelines as Topic
  • Physicians
  • Middle Aged
  • Male
  • Humans
  • Health Personnel
  • Guideline Adherence
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Mehta, R. H., Newby, L. K., Patel, Y., Hoekstra, J. W., Miller, C. D., Chen, A. Y., … CRUSADE Investigators, . (2006). The impact of emergency department structure and care processes in delivering care for non-ST-segment elevation acute coronary syndromes. Am Heart J, 152(4), 648–660. https://doi.org/10.1016/j.ahj.2006.04.015
Mehta, Rajendra H., L Kristin Newby, Yogin Patel, James W. Hoekstra, Chadwick D. Miller, Anita Y. Chen, Barbara L. Lytle, et al. “The impact of emergency department structure and care processes in delivering care for non-ST-segment elevation acute coronary syndromes.Am Heart J 152, no. 4 (October 2006): 648–60. https://doi.org/10.1016/j.ahj.2006.04.015.
Mehta RH, Newby LK, Patel Y, Hoekstra JW, Miller CD, Chen AY, et al. The impact of emergency department structure and care processes in delivering care for non-ST-segment elevation acute coronary syndromes. Am Heart J. 2006 Oct;152(4):648–60.
Mehta, Rajendra H., et al. “The impact of emergency department structure and care processes in delivering care for non-ST-segment elevation acute coronary syndromes.Am Heart J, vol. 152, no. 4, Oct. 2006, pp. 648–60. Pubmed, doi:10.1016/j.ahj.2006.04.015.
Mehta RH, Newby LK, Patel Y, Hoekstra JW, Miller CD, Chen AY, Lytle BL, Diercks DB, Summers RL, Brogan GX, Peacock WF, Pollack CV, Roe MT, Peterson ED, Ohman EM, Gibler WB, CRUSADE Investigators. The impact of emergency department structure and care processes in delivering care for non-ST-segment elevation acute coronary syndromes. Am Heart J. 2006 Oct;152(4):648–660.
Journal cover image

Published In

Am Heart J

DOI

EISSN

1097-6744

Publication Date

October 2006

Volume

152

Issue

4

Start / End Page

648 / 660

Location

United States

Related Subject Headings

  • Syndrome
  • Surveys and Questionnaires
  • Quality Assurance, Health Care
  • Practice Guidelines as Topic
  • Physicians
  • Middle Aged
  • Male
  • Humans
  • Health Personnel
  • Guideline Adherence