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Improving Cardiogenic Shock Team Activation Through Nurse Education and Alert Implementation
Suzanne Krais1, Jenelle Sheasby2, Jasjit Banwait3
1Suzanne Krais is the chief nursing officer and vice president of patient care services at Baylor Scott & White Heart Hospital-Plano, Texas.
Critical Care Nurse
|November 30, 2024
Summary
Nurse-led interventions significantly reduced diagnosis and transfer acceptance times for cardiogenic shock patients. This quality improvement project enhanced care by streamlining shock team activation in a cardiovascular hospital.
Area of Science:
- Cardiology
- Quality Improvement
- Nursing
Background:
- Cardiogenic shock carries a high mortality rate (25-50%) despite advanced treatments.
- Multidisciplinary shock teams improve outcomes, but delays in recognition and diagnosis persist.
- Inefficiencies in a cardiovascular hospital's shock team activation process were identified.
Purpose of the Study:
- To evaluate the impact of nurse-led interventions on the timeliness of cardiogenic shock recognition and diagnosis.
- To improve the efficiency of shock team activation and patient acceptance in a cardiovascular hospital setting.
Main Methods:
- A preintervention-postintervention quality improvement project was conducted.
- Interventions included nursing staff education and implementation of a shock alert system.
- Key metrics were time to diagnosis for inpatients and time to acceptance for transferring patients.
Main Results:
- Mean time to diagnosis decreased from 17.98 hours to 8.15 hours (P = .045).
- Median time to acceptance for transfer patients significantly reduced from 1.55 hours to 0.35 hours (P < .001).
- The interventions led to a substantial improvement in patient throughput.
Conclusions:
- Nurse-led interventions effectively reduced delays in diagnosing and accepting cardiogenic shock patients.
- Streamlining shock team activation enhances the quality of care for critically ill cardiac patients.
- This initiative demonstrates the critical role of nursing in optimizing care for cardiogenic shock.
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