使命:生命线® Data Through The Years (2010 - 2016)

The 使命:生命线 Program was launched in 2007. In 2010, the first 使命:生命线 data and reports were generated offering participating hospitals much needed feedback on STEMI care initiatives, including STEMI System of Care metrics. 自2010年以来, much has been accomplished to create, improve and regionalize STEMI Systems of Care across the US. 然而, significant challenges and opportunities remain (See STEMI Systems of Care Opportunities page).

使命:生命线 STEMI data through the years, 2010-2016 show STEMI Systems of Care successes and place a spotlight on the opportunities.

使命:生命线 EMS FMC to Primary PCI within 90 Minutes

作为一个国家, the 使命:生命线 EMS FMC到PCI measure achievement remains below 75%.

Coordinating STEMI Care between EMS and STEMI Receiving Center	Pre-planned EMS destination protocols Early notification by EMS to the STEMI Receiving Center of suspected or confirmed STEMI patient Early activation of the Cath Lab (STEMI Alert) by the STEMI Receiving Center prior to the arrival of patient with STEMI identified in the field by EMS 立即, 24-48 hour and quarterly feedback to EMS by the STEMI Receiving Center
Improving throughput processes at STEMI Receiving Centers	Decreased Door to 12 Lead ECG times for patients transported by EMS without a diagnostic 12 Lead ECG Decreased ED dwell time for STEMI patients

使命:生命线 Arrival at STEMI Referring Hospital to Primary PCI (For STEMI patients transferred for PCI, no fibrinolytic therapy administered)

作为一个国家, the 使命:生命线 Arrival to STEMI Referring Hospital to PCI within 120 Minutes measure (使命:生命线 STEMI Receiving Center PLUS Measure) achievement remains below 75%.

Coordinating STEMI Care between EMS and STEMI Referring Hospital	Pre-planned EMS destination protocols that may include by-pass of the closest STEMI Referring Hospital when EMS FMC到PCI can be achieved within 90 minutes or within 120 minutes when EMS transport >45 Minutes Pre-planned transfer plans with EMS for the STEMI patient
Improving throughput processes at STEMI Referring Hospitals	Protocols in place to ensure timely identification of the STEMI patient, timely acquisition of the 12 lead ECG, and timely interpretation of the 12 Lead ECG Decreased length of stay in ED (Door In-Door Out)
Coordinating STEMI Care between STEMI Referring Hospital and STEMI Receiving Centers	Automatic acceptance of STEMI patients by STEMI Receiving Centers One Call STEMI Activation process in place 立即, 24-48 hour and quarterly feedback to STEMI Referring Hospital by the STEMI Receiving Center

使命:生命线 Data Through The Years – 2010-2016 (PDF)

To learn how you can participate in implementing, improving and regionalizing 使命:生命线 STEMI Systems of Care complete the Get More Information About 使命:生命线(链接在新窗口中打开) form. An AHA Quality and Systems Improvement team member will contact you within 48 hours.

Written by 美国心脏协会 editorial staff and reviewed by science and medicine advisors.

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最后一次审查:2018年7月18日