使用90分钟方案评估因胸痛就诊于急诊科的患者：一项病例研究。
Use of a 90-minute protocol to evaluate patients presenting to the emergency department with chest pain: a case study.
作者信息
Bunch Azalea Marie, Carithers Cathrin, Leasure A Renee
机构信息
Azalea Marie Bunch, DNP, APRN-ENP, is an emergency NP at the Emergency Department of the Memorial Hermann Health Care System, Woodlands, Texas. Cathrin Carithers, DNP, APRN, FNP-C, is a family nurse practitioner, clinical associate professor and director of Doctor of Nursing Practice Program, University of Arkansas for Medical Sciences, Little Rock, Arkansas. A. Renee Leasure, PhD, APRN-CNS, CCRN, is associate professor at the University of Oklahoma College of Nursing and research investigator (WOC), Oklahoma City Veterans Affairs Medical Center. Dr Leasure is a reviewer of manuscripts for DCCN.
出版信息
Dimens Crit Care Nurs. 2014 Jul-Aug;33(4):194-200. doi: 10.1097/DCC.0000000000000051.
Frustration with emergency department wait times may contribute to patient delays in seeking care for subsequent episodes of chest pain and lower patient satisfaction ratings. In response to patient feedback and the dissemination of new knowledge, the existing emergency chest pain protocol was updated to include point-of-care laboratory testing and evaluation at baseline and 90 minutes. A case study was utilized to illustrate implementation of this protocol in the management of a patient presenting to the emergency department with chest pain.
对急诊科候诊时间的不满可能会导致患者在后续胸痛发作时延迟就医，并降低患者满意度评分。为响应患者反馈和新知识的传播，现有的急诊胸痛诊疗方案进行了更新，纳入了即时检验以及基线和90分钟时的评估。本案例研究用于说明该方案在一名因胸痛就诊于急诊科的患者管理中的实施情况。
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