An Updated Healthcare System-Wide Clinical Pathway for Managing Patients With Chest Pain and Acute Coronary Syndromes.


Journal

Critical pathways in cardiology
ISSN: 1535-2811
Titre abrégé: Crit Pathw Cardiol
Pays: United States
ID NLM: 101165286

Informations de publication

Date de publication:
12 2019
Historique:
entrez: 15 11 2019
pubmed: 15 11 2019
medline: 1 9 2020
Statut: ppublish

Résumé

Clinical pathways reinforce best practices and help healthcare institutions standardize care delivery. The NewYork-Presbyterian/Columbia University Irving Medical Center has used such a pathway for the management of patients with chest pain and acute coronary syndromes for almost 2 decades. A multidisciplinary panel of stakeholders serially updates the algorithm according to new data and recently published guidelines. Herein, we present the 2019 version of the clinical pathway. We explain the rationale for changes to the algorithm and describe our experience expanding the pathway to all the 8 affiliated institutions within the NewYork Presbyterian healthcare system.

Identifiants

pubmed: 31725507
doi: 10.1097/HPC.0000000000000189
pii: 00132577-201912000-00001
doi:

Substances chimiques

Adrenergic beta-Antagonists 0
Anticoagulants 0
Platelet Aggregation Inhibitors 0
Troponin I 0
Troponin T 0
Vasodilator Agents 0
Heparin 9005-49-6
Nitroglycerin G59M7S0WS3

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

167-175

Auteurs

Michael I Brener (MI)

Department of Medicine, Division of Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.

Jen Tung (J)

Department of Analytics, NewYork-Presbyterian, New York, NY.

Jennifer Stant (J)

Department of Medicine, Division of Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.

Osman R Sayan (OR)

Department of Emergency Medicine, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.

Edward H Suh (EH)

Department of Emergency Medicine, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.

Robert M Minutello (RM)

Department of Medicine, Division of Cardiology, NewYork-Presbyterian/Weill Cornell Medical Center, New York, NY.

Rahul Sharma (R)

Department of Emergency Medicine, NewYork-Presbyterian/Weill Cornell Medical Center, New York, NY.

Sorin J Brener (SJ)

Department of Medicine, Division of Cardiology, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY.

Lawrence A Melniker (LA)

Department of Emergency Medicine, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY.

Emmanuel N Moustakakis (EN)

Department of Medicine, Division of Cardiology, NewYork-Presbyterian Queens, Queens, NY.

Gerald Neuberg (G)

Department of Medicine, Division of Cardiology, NewYork-Presbyterian Allen Hospital, New York, NY.

Lorna M Breen (LM)

Department of Emergency Medicine, NewYork-Presbyterian Allen Hospital, New York, NY.

Ronald Nutovits (R)

Department of Emergency Medicine, NewYork-Presbyterian Hudson Valley Hospital, Cortlandt Manor, NY.

Yuliya Kats (Y)

Division of Cardiology, NewYork-Presbyterian Lower Manhattan Hospital, New York, NY.

Andrew Amaranto (A)

Department of Medicine, Division of Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.
Department of Emergency Medicine, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY.

Anthony Pucillo (A)

Department of Analytics, NewYork-Presbyterian, New York, NY.
Department of Medicine, Division of Cardiology, NewYork-Presbyterian Queens, Queens, NY.

Ajay J Kirtane (AJ)

Department of Medicine, Division of Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.

LeRoy E Rabbani (LE)

Department of Medicine, Division of Cardiology, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY.

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Classifications MeSH