Clinical Transformation Through Change Management Case Study: Chest Pain in the Emergency Department.

ABSTRACT:

Introduction/background

Adults with chest pain presenting to an emergency department are high-risk and high-volume. A methodology which gathers practicing physicians together to review evidence and share practice experience to formulate a written algorithm with key decision points and measures is discussed with implementation, based on change management principles, and results.

Methods

A methodology was followed to "establish the standard-of-care". Literature and data were reviewed, a written consensus algorithm was designed with ability to track adherence and deviations. We performed a before and after analysis of a performance improvement intervention in adult patients with undifferentiated chest pain in our nine-campus hospital system in Florida between January 1st, 2014

SUBMITTER: Kuhlman J 

PROVIDER: S-EPMC6543278 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature