Early Diagnosis of Acute Myocardial Infarction: Impact of an Educational and Organizational Intervention
NCT04333381 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 450
Last updated 2020-04-03
Summary
The hypothesis is that an educational program aimed at emergency nurses and the implementation of measures at the organizational level reduce the time between arrival at the emergency room and the opening of the artery or balloon by 40% in patients attending for acute myocardial infarction.
Conditions
- STEMI
- Myocardial Infarction
- Nurses
- Education
- Emergency Room
Interventions
- OTHER
-
Educational and organizational intervention
Patients included after a systematic educational and organizational intervention for early diagnosis and care in myocardial infarction, aimed at emergency nurses of a tertiary Hospital capable in primary PCI. 1. The educational intervention will consist: Systematized educational intervention on acute myocardial infarction for emergency triage nurses will consist of theoretical and practical training through case presentations and clinical simulation. 2. The organizational intervention will consist: * Development and dissemination of an early diagnostic tool for acute myocardial infarction: STEMI infographics. It will be provided to all emergency nurses and emergency triage boxes * Update the STEMI hospital protocol and adapt it to the current clinical guidelines of the European Society of Cardiology (ESC) * Review organizational strategies and definition of new improvement measures * Audit the delays in STEMI * Periodic multi-disciplinary update sessions
- OTHER
-
Common Practice
Common practice is based on care by emergency nurses who did not receive any systematized education of acute myocardial infarction led by interventional cardiology nurses. On the other hand, emergency management is based on Plan-Do-Study-Act methodology and in the historical sample some organizational improvement strategies did not exist or were beginning to be implemented
Sponsors & Collaborators
-
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-07-01
- Primary Completion
- 2022-07-01
- Completion
- 2022-12-31
Countries
- Spain
Study Locations
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