Cited 7 times in
Effectiveness of a multidisciplinary critical pathway based on a computerised physician order entry system for ST-segment elevation myocardial infarction management in the emergency department: a retrospective observational study
DC Field | Value | Language |
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dc.contributor.author | 김민정 | - |
dc.contributor.author | 박유석 | - |
dc.contributor.author | 박인철 | - |
dc.contributor.author | 왕진원 | - |
dc.contributor.author | 유제성 | - |
dc.contributor.author | 이혜선 | - |
dc.contributor.author | 정성필 | - |
dc.contributor.author | 정현수 | - |
dc.contributor.author | 홍정화 | - |
dc.date.accessioned | 2017-10-26T07:19:03Z | - |
dc.date.available | 2017-10-26T07:19:03Z | - |
dc.date.issued | 2016 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/151875 | - |
dc.description.abstract | OBJECTIVES: The purpose of this study was to investigate whether a multidisciplinary organised critical pathway (CP) for ST-segment elevation myocardial infarction (STEMI) management can significantly attenuate differences in the duration from emergency department (ED) arrival to evaluation and treatment, regardless of the arrival time, by eliminating off-hour and weekend effects. DESIGN: Retrospective observational cohort study. SETTING: 2 tertiary academic hospitals. PARTICIPANTS: Consecutive patients in the Fast Interrogation Rule for STEMI (FIRST) program. INTERVENTIONS: A study was conducted on patients in the FIRST program, which uses a computerised physician order entry (CPOE) system. The patient demographics, time intervals and clinical outcomes were analysed based on the arrival time at the ED: group 1, normal working hours on weekdays; group 2, off-hours on weekdays; group 3, normal working hours on weekends; and group 4, off-hours on weekends. PRIMARY AND SECONDARY OUTCOME MEASURES: Clinical outcomes categorised according to 30-day mortality, in-hospital mortality and the length of stay. RESULTS: The duration from door-to-data or FIRST activation did not differ significantly among the 4 groups. The median duration between arrival and balloon placement during percutaneous coronary intervention did not significantly exceed 90?min, and the proportions (89.6-95.1%) of patients with door-to-balloon times within 90?min did not significantly differ among the 4 groups, regardless of the ED arrival time (p=0.147). Moreover, no differences in the 30-day (p=0.8173) and in-hospital mortality (p=0.9107) were observed in patients with STEMI. CONCLUSIONS: A multidisciplinary CP for STEMI based on a CPOE system can effectively decrease disparities in the door-to-data duration and proportions of patients with door-to-balloon times within 90?min, regardless of the ED arrival time. The application of a multidisciplinary CP may also help attenuate off-hour and weekend effects in STEMI clinical outcomes. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.publisher | BMJ Publishing Group Ltd | - |
dc.relation.isPartOf | BMJ OPEN | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Critical Pathways* | - |
dc.subject.MESH | Disease Management | - |
dc.subject.MESH | Emergency Service, Hospital* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hospital Mortality | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Length of Stay | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Medical Order Entry Systems* | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Patient Care Team | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | ST Elevation Myocardial Infarction/diagnosis | - |
dc.subject.MESH | ST Elevation Myocardial Infarction/therapy* | - |
dc.subject.MESH | Time Factors | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Effectiveness of a multidisciplinary critical pathway based on a computerised physician order entry system for ST-segment elevation myocardial infarction management in the emergency department: a retrospective observational study | - |
dc.type | Article | - |
dc.publisher.location | England | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Emergency Medicine | - |
dc.contributor.googleauthor | Yoo Seok Park | - |
dc.contributor.googleauthor | Sung Phil Chung | - |
dc.contributor.googleauthor | Je Sung You | - |
dc.contributor.googleauthor | Min Joung Kim | - |
dc.contributor.googleauthor | Hyun Soo Chung | - |
dc.contributor.googleauthor | Jung Hwa Hong | - |
dc.contributor.googleauthor | Hye Sun Lee | - |
dc.contributor.googleauthor | Jinwon Wang | - |
dc.contributor.googleauthor | Incheol Park | - |
dc.identifier.doi | 10.1136/bmjopen-2016-011429 | - |
dc.contributor.localId | A01592 | - |
dc.contributor.localId | A01628 | - |
dc.contributor.localId | A04979 | - |
dc.contributor.localId | A02507 | - |
dc.contributor.localId | A03312 | - |
dc.contributor.localId | A03625 | - |
dc.contributor.localId | A03764 | - |
dc.contributor.localId | A04433 | - |
dc.contributor.localId | A00470 | - |
dc.relation.journalcode | J00380 | - |
dc.identifier.eissn | 2044-6055 | - |
dc.relation.journalsince | 2011~ | - |
dc.identifier.pmid | 27531726 | - |
dc.subject.keyword | acute myocardial infarction | - |
dc.subject.keyword | computerized physician order entry system | - |
dc.subject.keyword | critical pathway | - |
dc.subject.keyword | emergency medicine | - |
dc.subject.keyword | weekend effect | - |
dc.contributor.alternativeName | Kim, Min Joung | - |
dc.contributor.alternativeName | Park, Yoo Seok | - |
dc.contributor.alternativeName | Park, In Cheol | - |
dc.contributor.alternativeName | Wang, Jinwon | - |
dc.contributor.alternativeName | You, Je Sung | - |
dc.contributor.alternativeName | Lee, Hye Sun | - |
dc.contributor.alternativeName | Chung, Sung Pil | - |
dc.contributor.alternativeName | Chung, Hyun Soo | - |
dc.contributor.alternativeName | Hong, Jung Hwa | - |
dc.contributor.affiliatedAuthor | Park, Yoo Seok | - |
dc.contributor.affiliatedAuthor | Park, In Cheol | - |
dc.contributor.affiliatedAuthor | Wang, Jinwon | - |
dc.contributor.affiliatedAuthor | You, Je Sung | - |
dc.contributor.affiliatedAuthor | Lee, Hye Sun | - |
dc.contributor.affiliatedAuthor | Chung, Sung Pil | - |
dc.contributor.affiliatedAuthor | Chung, Hyun Soo | - |
dc.contributor.affiliatedAuthor | Hong, Jung Hwa | - |
dc.contributor.affiliatedAuthor | Kim, Min Joung | - |
dc.citation.volume | 6 | - |
dc.citation.number | 8 | - |
dc.citation.startPage | 011429 | - |
dc.identifier.bibliographicCitation | BMJ OPEN, Vol.6(8) : 011429, 2016 | - |
dc.date.modified | 2017-10-24 | - |
dc.identifier.rimsid | 46200 | - |
dc.type.rims | ART | - |
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