Clinical Performance and Quality of Care for Patient with ST-Elevation Myocardial Infarction at the Emergency Department in Central Chest Institute of Thailand
Keywords:Clinical performance, Quality of care, ST-elevation myocardial infarction
This retrospective descriptive study (chart review) aimed to evaluate the clinical performance and quality of care for patients with ST-elevation myocardial infarction (STEMI). This was conducted on patients with STEMI for those who came to the emergency department in the central chest institute of Thailand between 1st October, 2016 and 31st December, 2017 (n=53). The research instrument used was the case record form that was created by the researcher, which comprised the following information: demographic characteristics, illness history, clinical nursing intervention performance, and quality of care for patient with STEMI. Descriptive statistics was used for data analyses. From the study, it was found that the clinical nursing intervention performance was at a good level in four components including advocating of patients’ rights, continuity of care, providing information, and nursing intervention for patients with STEMI. Two-components with the poor level including health promotion and risk prevention for patients with STEMI. Among patients with STEMI had an electrocardiogram (ECG) performed (Door to ECG) within 10 minutes (mean 3.2, SD 1.3) of arrival was 100%. Also, the time from ED arrival to ED discharge (Doorin- door-out time) within 30 minutes (mean 30.7, SD 21.4) was 71.7%. Lastly, the time from ED arrival to reperfusion therapy (Door to balloon time) within 90 minutes (mean 58.5, SD 28.5) was 88.7%.
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