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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
1996-9-18
|
| pubmed:abstractText |
We assessed whether audit might reduce the time taken to give thrombolysis and aspirin in patients with acute myocardial infarction (N = 116). A retrospective analysis was performed of the sources of delay in giving the drugs (N-60) and the data were presented to clinical staff accompanied by guidelines aimed at eliminating delays. A prospective survey was undertaken (N = 56) after these interventions. Audit resulted in an overall 31% reduction (P = 0.013) in the time to administer thrombolysis (median 55 minutes [range 21-148] v 38 [15-155]): there was a 57% fall (P < 0.0001) in the time to record an electrocardiogram (14 minutes [4-34] v 6 [1-19]) and a 33% decrease (P = 0.047) in the time taken to begin thrombolysis in the coronary care unit (15 minutes [0-110) v 10 [5-70]). The time taken to give aspirin was also reduced (P = 0.001) from 58 minutes (15-400) to 15 (3-235). The time taken to administer thrombolysis and aspirin to patients admitted with acute myocardial infarction can be reduced by audit.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Aug
|
| pubmed:issn |
0036-9330
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
39
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
120-2
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:8778962-Adult,
pubmed-meshheading:8778962-Aged,
pubmed-meshheading:8778962-Aged, 80 and over,
pubmed-meshheading:8778962-Aspirin,
pubmed-meshheading:8778962-Cardiology Service, Hospital,
pubmed-meshheading:8778962-Electrocardiography,
pubmed-meshheading:8778962-Female,
pubmed-meshheading:8778962-Fibrinolytic Agents,
pubmed-meshheading:8778962-Humans,
pubmed-meshheading:8778962-Male,
pubmed-meshheading:8778962-Medical Audit,
pubmed-meshheading:8778962-Middle Aged,
pubmed-meshheading:8778962-Myocardial Infarction,
pubmed-meshheading:8778962-Patient Admission,
pubmed-meshheading:8778962-Patient Selection,
pubmed-meshheading:8778962-Retrospective Studies,
pubmed-meshheading:8778962-Scotland,
pubmed-meshheading:8778962-Statistics, Nonparametric,
pubmed-meshheading:8778962-Streptokinase,
pubmed-meshheading:8778962-Thrombolytic Therapy,
pubmed-meshheading:8778962-Time Factors
|
| pubmed:year |
1994
|
| pubmed:articleTitle |
Success of audit in reducing the time taken to administer thrombolysis and aspirin in patients with acute myocardial infarction.
|
| pubmed:affiliation |
Department of Cardiology, Western General Hospital, Edinburgh.
|
| pubmed:publicationType |
Journal Article
|