Breuckmann Frank, Burt David R, Melching Kay, Erbel Raimund, Heusch Gerd, Senges Jochen, Garvey J Lee
From the *Department of Cardiology, Arnsberg Medical Center, Arnsberg, Germany; †Department of Emergency Medicine, University of Virginia, Charlottesville, VA; ‡Society of Cardiovascular Patient Care, Dublin, OH; §Department of Cardiology, West German Heart and Vascular Center Essen, University Duisburg-Essen, Essen, Germany; ¶Institute for Pathophysiology, West German Heart and Vascular Center Essen, University Duisburg-Essen, Essen, Germany; ‖Institute for Myocardial Infarction Research Foundation Ludwigshafen, University of Heidelberg, Heidelberg, Germany; and **Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC.
Crit Pathw Cardiol. 2015 Jun;14(2):67-73. doi: 10.1097/HPC.0000000000000041.
The implementation of chest pain centers (CPC)/units (CPU) has been shown to improve emergency care in patients with suspected cardiac ischemia.
In an effort to provide a systematic and specific standard of care for patients with acute chest pain, the Society of Cardiovascular Patient Care (SCPC) as well as the German Cardiac Society (GCS) introduced criteria for the accreditation of specialized units.
To date, 825 CPCs in the United States and 194 CPUs in Germany have been successfully certified by the SCPC or GCS, respectively. Even though there are differences in the accreditation processes, the goals are quite similar, focusing on enhanced operational efficiencies in the care of the acute coronary syndrome patients, reduced time delays, improved diagnostic and therapeutic strategies using adapted standard operating procedures, and increased medical as well as community awareness by the implementation of nationwide standardized concepts. In addition to national efforts, both societies have launched international initiatives, accrediting CPCs/CPU in the Middle East and China (SCPC) and Switzerland (GCS).
Enhanced collaboration among international bodies interested in promoting high quality care might extend the opportunity for accreditation of facilities that treat cardiovascular patients, with national programs designed to meet local needs and local healthcare system requirements.
胸痛中心（CPC）/单元（CPU）的实施已被证明可改善疑似心肌缺血患者的急诊护理。
为了为急性胸痛患者提供系统且特定的护理标准，心血管患者护理协会（SCPC）以及德国心脏病学会（GCS）引入了专门单元的认证标准。
迄今为止，美国的825个胸痛中心和德国的194个胸痛单元分别已成功获得SCPC或GCS的认证。尽管认证过程存在差异，但目标非常相似，重点在于提高急性冠状动脉综合征患者护理的运营效率、减少时间延误、采用适当的标准操作程序改善诊断和治疗策略，以及通过实施全国标准化概念提高医疗界和社区的认识。除了国家层面的努力，两个协会都发起了国际倡议，对中东和中国（SCPC）以及瑞士（GCS）的胸痛中心/单元进行认证。
对促进高质量护理感兴趣的国际机构之间加强合作，可能会扩大对治疗心血管疾病患者的设施进行认证的机会，同时制定旨在满足当地需求和当地医疗系统要求的国家计划。
