Development of systems of care for ST-elevation myocardial infarction patients: evaluation and outcomes.
Development of systems of care for ST-elevation myocardial infarction patients: evaluation and outcomes.
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DOI：
10.1161/circulationaha.107.184051
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发表时间：
2007-07
期刊：
影响因子：
37.8
通讯作者：
E. Peterson;E. Ohman;R. Brindis;D. Cohen;D. Magid
中科院分区：
文献类型：
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作者：
E. Peterson;E. Ohman;R. Brindis;D. Cohen;D. Magid
总结通过发展协调的护理系统来优化STEMI患者的再灌注治疗，其中包括增加获得直接经皮冠状动脉介入治疗的机会，这为提供护理方面的协作提供了独特的机会。如果实施得当，这种协调的护理系统有可能显著改善急性心肌梗死患者的预后，急性心肌梗死仍然是美国发病率和死亡率的主要原因。尽管改善的机会很大，但只有通过标准化的质量指标和细心的外部监督来跟踪护理和预后的过程才能实现这些目标。确保以透明的方式实施适当的衡量标准，应该有助于让参与STEMI护理的众多各方参与进来，并将促进必要的信任和合作，这是护理方面的不利变化所需要的。编写小组成员对这些会议议事程序的所有章节可能存在的利益冲突的披露载于《执行摘要》所附的闭幕表。
Summary The optimization of reperfusion therapy for STEMI pa-tients by developing coordinated care systems that includeincreased access to primary PCI offers a unique opportu-nity for collaboration in the delivery of care. If imple-mented correctly, such coordinated care systems have thepotential to improve outcomes substantially for patientswith acute myocardial infarction, which is still the leadingcause of morbidity and mortality in the United States.Although the opportunities for improvements are vast,these can only be achieved by tracking processes of careand outcomes with standardized quality metrics and care-ful external oversight. Ensuring that appropriate metricsare implemented in a transparent fashion should help toengage the numerous parties involved in STEMI care andwill foster the necessary trust and collaboration that suchambitious changes in care will demand. Disclosures Potential conflicts of interest for members of the writing groups forall sections of these conference proceedings are provided in adisclosure table included with the Executive Summary.