A recent AHA study looked at STEMI outcomes in facilities that had a regional plan for cath lab activation in place versus those that did not. The results truly highlight systems of care at work.
According to the study, improvements in treatment times corresponded with a significant reduction in mortality (in-hospital death 4.4% to 2.3%; P=0.001) that was not apparent in hospitals not participating in the project during the same time-period. Congestive heart failure rates also dropped, from 7.4% at baseline to 5.0% at the end of the intervention period (P=0.03).
According to Jamie Jollis, MD "One of the biggest differences [between successful hospitals and those which did not improve] is having that plan in place, and the second piece is measurement. If you have that feedback back to the ambulance crew and you go through your process and measure on a regular basis, it makes a huge difference."
So what is your plan? How do you manage team communication? Do you have a different team communication plan for Cardiac Arrest, Stroke, Sepsis, Trauma, PE....?