Related Experiment Video
Updated: Aug 9, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Application of Lean Six Sigma for patients presenting with ST-elevation myocardial infarction: the Hamilton Health
1Royal College Residency Training Program, McMaster University, Hamilton, Ontario. Edarrab@hotmail.com
Insights
This study introduces a quality improvement model using Lean Six Sigma to speed up the recognition of acute myocardial infarction (AMI) in busy emergency departments (EDs). This aims to reduce deaths from AMI, a leading cause of mortality.
Area of Science:
- Emergency Medicine
- Healthcare Quality Improvement
- Cardiology
Background:
- Acute myocardial infarction (AMI) is a primary cause of death globally.
- Emergency departments (EDs) are the main entry point for patients experiencing symptomatic AMI.
- ED overcrowding is a significant barrier to the timely recognition of AMI.
Purpose of the Study:
- To present a novel quality improvement model for clinical settings.
- To apply Lean Six Sigma principles to enhance the recognition of AMI in the ED.
- To address the challenge of ED overcrowding impacting patient care for AMI.
Main Methods:
- The study proposes a quality improvement model.
- The model integrates Lean Six Sigma guidelines.
- Application is focused on the clinical environment of the emergency department.
Main Results:
- A framework for applying Lean Six Sigma in an ED setting is detailed.
- The model is designed to improve the efficiency of AMI recognition.
- Potential impact on reducing delays in AMI diagnosis and treatment is discussed.
Conclusions:
- Lean Six Sigma offers a structured approach to tackle ED overcrowding.
- Implementing this model can potentially improve early detection of AMI.
- This quality improvement strategy may contribute to reducing mortality from AMI.
Abstract:
Most patients with symptomatic acute myocardial infarction (AMI), the leading cause of death in western industrialized nations, use the emergency department (ED) as their point of entry. Yet, one identified barrier to early recognition of patients with AMI is ED overcrowding. In this paper, the author presents a quality improvement model that applies Lean Six Sigma guidelines to the clinical setting.
Related Concept Videos
Acute Coronary Syndrome IV: Interprofessional Care
Acute Coronary Syndrome I: Introduction
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Acute Coronary Syndrome III: Diagnostic Studies
Angina V: Nursing Management
Cardiomyopathy VII: Pre and Post Operative Nursing Management
