SHARING AND TEACHING ECGS TO MINIMIZE INFARCTION (STEMI)
A quality improvement project focusing on the emergency physician diagnosis of acute coronary occlusion.
Traditional STEMI benchmarks have focused on door-to-ECG (involving triage nurses and ECG techs) or ECG-to-cath lab (involving transportation), and UHN has previously adopted a stat cardiology process involving the cardiologists.
This project focuses exclusively on the emergency physician diagnosis of acute coronary occlusion. This will involve assessing the sensitivity of automated interpretation, traditional STEMI criteria, and new literature on STEMI-equivalents and subtle signs of occlusion. It will also introduce the metric of ECG-to-activation (ETA) time (the time from the index ECG to the time the emergency physician activates a code STEMI or consults cardiology) to measure diagnostic delay and assess the impact of feedback and education.
Term of project: December 2018- ongoing