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Reduction of door-to-balloon time by new performance processes in patients with ST-segment elevation myocardial

Young Hee Nam1, Kwang Soo Cha, Jeong Hwan Kim

  • 1Department of Cardiology, Dong-A University Hospital, Busan, South Korea.

Angiology
|September 1, 2010
PubMed

Insights

Implementing new performance processes significantly reduced door-to-balloon time for primary percutaneous coronary intervention (PCI). This improvement enhances patient care by speeding up critical treatment delivery.

Area of Science:

  • Cardiology
  • Healthcare Management
  • Quality Improvement

Background:

  • Door-to-balloon time is a critical metric in primary percutaneous coronary intervention (PCI).
  • Delays in PCI can lead to adverse cardiac outcomes.
  • Optimizing workflow processes is essential for improving patient care.

Purpose of the Study:

  • To evaluate the impact of adopting new performance processes on door-to-balloon time for primary PCI.
  • To assess the effectiveness of specific workflow changes in reducing treatment delays.

Main Methods:

  • A pre- and post-implementation study design was used.
  • Three new performance processes were introduced: concurrent emergency department activation, direct phone calls for activation, and patient transfer before PCI team arrival.
  • 139 consecutive patients undergoing primary PCI were analyzed.

Main Results:

  • Median door-to-balloon time significantly decreased from 133 to 76 minutes (P < .0001).
  • The percentage of patients treated within 90 minutes increased from 16% to 72% (P < .0001).
  • Significant reductions were observed in door-to-consent time and door-to-laboratory arrival time.

Conclusions:

  • The adoption of new performance processes led to a substantial reduction in door-to-balloon time for primary PCI.
  • These workflow improvements significantly increased the proportion of patients receiving timely treatment.
  • Optimized processes are effective in accelerating critical cardiac intervention delivery.

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