Effect of Implementation of HEART Chest Pain Protocol on Emergency Department Disposition, Testing and Cost

Bylund, William E.; Cole, Peter M; Lloyd, Michael; Mercer, Anastasia A; Osit, A.; Hussain, Sarah W; Lawrence, Matthew W.; Gaspary, Micah J

doi:10.5811/westjem.2020.9.48903

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…Symptoms concerning for acute coronary syndrome such as chest pain and dyspnoea are some of the most common reasons for presenting to an ED, so there is an evidence about improving the outcome of patients by adoption of a history, ECG, age, risk factors and troponin score-based protocol. Discharges from the ED increased with a corresponding decrease in admissions for cardiac evaluations as well as cost 28…”

Section: Discussionmentioning

confidence: 99%

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Consensus-based quality standards for emergency departments in Palestine

Bani Odeh,

Wallis,

Hamdan

et al. 2024

BMJ Open Qual

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ObjectivesThe present study aimed to establish appropriate quality standards for emergency departments (EDQS) in Palestine.MethodsThe study comprised four phases. First, a comprehensive literature review was conducted to develop a framework for assessing healthcare services in EDs. Second, the initial set of EDQS was developed based on the review findings. Third, local experts provided feedback on the EDQS, suggesting additional standards, and giving recommendations. This feedback was analysed to create a preliminary set of EDQS. Finally, an expanded group of local emergency care experts evaluated the preliminary set, providing feedback on content and structure to contribute to the final set of EDQS.FindingsWe identified quality domains in EDs and categorised them into clinical and administrative pathways. The clinical pathway comprises 39 standards across 7 subdomains: triage, treatment, transportation, medication safety, patient flow and medical diagnostic services. Expert consensus was achieved on 87.5% of these standards. The administrative domain includes 64 consensus-based standards across 9 subdomains: documentation, information management systems, access-location, design, leadership, management, workforce staffing, training, equipment, supplies, capacity-resuscitation rooms, resources for a safe working environment, performance indicators and patient safety-infection prevention and control programmes.ConclusionThis study employed a rigorous approach to identify QS for EDs in Palestine. The multiphase consensus process ensured the appropriateness of the developed EDQS. Inclusion of diverse perspectives enriched the content. Future studies will validate and refine the standards based on feedback. The EDQS has potential to enhance emergency care in Palestine and serve as a model for other regions facing similar challenges.

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Section: Discussionmentioning

confidence: 99%

“…Discharges from the ED increased with a corresponding decrease in admissions for cardiac evaluations as well as cost. 28 …”

Section: Discussionmentioning

confidence: 99%