Myocardial Infarction Clinical Trial
Official title:
Early Diagnosis of Acute Myocardial Infarction: Impact of an Educational and Organizational Intervention
The hypothesis is that an educational program aimed at emergency nurses and the implementation of measures at the organizational level reduce the time between arrival at the emergency room and the opening of the artery or balloon by 40% in patients attending for acute myocardial infarction.
The time between arrival in the emergency room (ER) and balloon time (D2B) in ST segment
elevation myocardial infarction (STEMI) is one of the best indicators of quality care in
patients with STEMI. Hospitals with more strategies to improve this quality of care have a
shorter door-to-balloon time. The aim is to evaluate the effectiveness, in the time between
the arrival in the ER and the balloon time, of an educational and organizational intervention
for the early diagnosis of myocardial infarction for emergency nurses.
The aim of this study is to improve the time between arrival to ER and balloon time.
The study consists of two phases:
Phase I (PRE): in this phase, the aim is to describe the attendance times and to evaluate the
causes of delay in attendance in STEMI patients. With the findings, a plan will be drawn up
that includes the integration of an educational program for emergency nurses and
organizational measures; oriented to improve the early diagnosis and delays in STEMI.
Phase II (POST): in this phase, the aim is to evaluate the effectiveness in improving delays
in the care of patients with STEMI after the implementation of the educational and
organizational intervention developed in phase 1. On the other hand, will evaluate the
satisfaction of the emergency nurses with the training they received through educational and
organizational intervention.
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