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• W2118515218 abstract "The objectives of this study were to improve thrombolytic therapy in acute myocardial infarction by reducing the door-to-needle time in a 285-bed university hospital in Spain. A quality management approach was used involving all the relevant staff. Target standard was set at 35 minutes. Baseline data, intervention effect, and continuous monitoring were analyzed using x control charts. Analysis of baseline data showed a wide out-of-control variation and 72 minutes' average delay. Cause analysis revealed organizational and clinical problems that were subjected to intervention. Postintervention data showed a stable process, with an average of 30 minutes. Continuous monitoring showed further improvement in average time and predictable variation. The template of the current control chart has an average of 26 minutes. Quality management methods, particularly staff involvement in problem analysis and intervention design, and the use of control charts were useful to understand, solve, and continuously monitor an important clinical problem whose existence was evident only after it was measured." @default.
• W2118515218 created "2016-06-24" @default.
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• W2118515218 date "2000-05-01" @default.
• W2118515218 modified "2023-10-16" @default.
• W2118515218 title "Reducing Time Delay in the Thrombolysis of Myocardial Infarction: An Internal Quality Improvement Project" @default.
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• W2118515218 doi "https://doi.org/10.1177/106286060001500302" @default.
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