PMID- 21387877
OWN - NLM
STAT- MEDLINE
DCOM- 20110407
LR  - 20110310
IS  - 0332-3102 (Print)
IS  - 0332-3102 (Linking)
VI  - 104
IP  - 1
DP  - 2011 Jan
TI  - HeartBeat--improving heart attack care.
PG  - 9-12
AB  - We aimed to save lives by assuring best practice in ST elevation myocardial 
      infarction (STEMI) through initiating the Institute for Healthcare Improvement 
      (IHI) methodology nationally. Following collection of a minimum dataset, annual 
      change in indicators in the five initiating hospitals for the period Oct 2006 - 
      Sept 2009 was assessed by analysing the percentage of patients receiving the 
      eight components of evidenced based care on admission and discharge and 
      in-hospital mortality rate. For 635 patients, performance on seven of the eight 
      indicators of care exceeded 90% annually. Timely reperfusion therapy 
      (thrombolysis, primary percutaneous coronary intervention (PPCI)) improved 
      non-significantly from 68.2% (107 patients) in year 1 to 77.1% (118 patients) in 
      year 3. In-hospital mortality declined significantly from 12.4% (24 deaths) in 
      year 1 to 5% (9 deaths) in year 3. Evidence based STEMI care is followed to a 
      high degree but timely reperfusion and PPCI provision remain a challenge 
      nationally.
FAU - Jennings, S
AU  - Jennings S
AD  - HSE--Department of Public Health, Dr Steeven's Hospital, James's St, Dublin 8. 
      Siobhan.jennings@hse.ie
FAU - Bennett, K
AU  - Bennett K
FAU - Cavanagh, B
AU  - Cavanagh B
FAU - Morrissey, M
AU  - Morrissey M
FAU - Kearney, P
AU  - Kearney P
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PL  - Ireland
TA  - Ir Med J
JT  - Irish medical journal
JID - 0430275
SB  - IM
MH  - Adult
MH  - Aged
MH  - Evidence-Based Medicine
MH  - Female
MH  - Hospital Mortality
MH  - Humans
MH  - Ireland/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/mortality/*therapy
MH  - Myocardial Reperfusion
MH  - Thrombolytic Therapy
EDAT- 2011/03/11 06:00
MHDA- 2011/04/08 06:00
CRDT- 2011/03/11 06:00
PHST- 2011/03/11 06:00 [entrez]
PHST- 2011/03/11 06:00 [pubmed]
PHST- 2011/04/08 06:00 [medline]
PST - ppublish
SO  - Ir Med J. 2011 Jan;104(1):9-12.