Improving Door-To Balloon Time Of Patients Presenting To NTFGH Emergency Department With ST-Elevation Myocardial Infarction (STEMI)
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2019
To increase the proportion of STEMI patients with door-to-balloon (DTB) time ≤90 minutes from 67.6% to 90%. Collaborative efforts and structured interventions improved DTB times significantly, benefiting patient outcomes.
Year Submitted: 2019
Published Date: 31 December 2019
Tags: Care Process & Redesign, Quality Improvement, Clinical Practice Improvement, Productivity, Time Saving, Access To Care, Turnaround Time, Value Based Care, Safe Care
About this Content
Aims
To increase the proportion of STEMI patients with door-to-balloon (DTB) time ≤90 minutes from 67.6% to 90%.
Background
The international standard for DTB is ≤90 minutes, but in 2018 only 67.6% of STEMI patients achieved this at NTFGH.
Methods
Introduced data entry forms, stretch goals, and regular joint reviews; standardized handovers and implemented pit stop exercises.
Results
Achieved DTB time ≤90 minutes for 88.3% of patients by mid-2019.
Conclusion
Collaborative efforts and structured interventions improved DTB times significantly, benefiting patient outcomes.
Lessons Learnt
Multidisciplinary teamwork and clear communication are crucial for achieving systemic improvements.
Additional Information
Recognized as a model for improving emergency cardiac care workflows.
Keywords
Door-to-Balloon Time, STEMI, Emergency Cardiology Care
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Nursing, Medical |
Applicable Specialty or Discipline | Emergency Medicine, Cardiology |
Project Lead(s) | Saurabh Rastogi |
Project Member(s) | Pipin Kojodjod |
Connect with this contributor!
Ash Ang Soon Hock - soon_hock_ang@nuhs.edu.sg