Dissertation
Guideline to reduce door-to-ECG time within the emergency department
Doctor of Nursing Practice (D.N.P.), Drexel University
Jun 2019
DOI:
https://doi.org/10.17918/xyr0-2a30
Abstract
Background: The American College of Cardiology and the American Heart Association recommend an electrocardiogram be obtained and interpreted within 10-minutes of arrival to improve patient outcomes. Research findings suggest that only 7.4% of patients that presented to the emergency department had an electrocardiogram performed in the first 10-minutes of arrival as recommended by the American College of Cardiology. Purpose: The purpose of this project was to implement and evaluate a quality improvement initiative subsequently improving the door-to-electrocardiogram time. Methods: The foundation of the Doctoral of Nursing Project was based using the Johns Hopkins Nursing Evidence-Based Practice Model. The evidence was used to inform guideline construction. The guideline was implemented into practice using the Plan-Do-Study-Act model. The PICOT question for the project was: In patients who presented to the emergency department with a complaint of chest pain, how did implement a guideline effect obtaining an electrocardiogram within 10-minutes? Evaluation: Statistical analysis was performed using SPSS version 25 software. Data were cleaned and checked prior to analysis. The mean differences between pre-and-post implementation groups in regards to door-to-ECG times were compared using t-test analysis. The significance level was 0.05. The t-test determined the means of the pre-post implementation data sets differed significantly. A statistician was consulted for additional guidance, as one was available for consultation. Results: Before implementation, the mean door-to-ECG time was 28.8-minutes. Post-implementation, the mean door-to-ECG time was 16.6-minutes. A t-test to compare the means of the door-to-ECG times from September 2018 and May 2019 using a level of significance of 0.05 identified a statistical difference between the pre-and post-implementation groups. The t-test demonstrated there was a correlation to the intervention and the door-to-ECG time.
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Details
- Title
- Guideline to reduce door-to-ECG time within the emergency department
- Creators
- Christine A. Craft - DU
- Contributors
- Patti Rager Zuzelo (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 60 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 9585; 991014632405104721