Construction of a standardized emergency care process for acute myocardial infarction under the chest pain center model based on process reengineering theory
DING Jieqiong
WU Nanzhen
ZHU Shouzhen
SONG Yuying
LONG Boling
Abstract：Objective:To construct a standardized emergency care process for acute myocardial infarction(AMI)under the chest pain center model based on process reengineering theory.Methods:Based on process reengineering theory,the original AMI emergency care process was reviewed through on-site tracking and investigation.Diagnostic analysis of the original process was conducted by combining timeout node cause analysis and semi-structured interviews.Key steps were identified,and improvement measures were formulated to reconstruct the process.The process contents were continuously refined through two rounds of expert consultation,ultimately completing the construction of a standardized AMI emergency care process under the chest pain center model.Results:The standardized AMI emergency care process under the chest pain center model was constructed with 3 levels,6 primary processes,14 secondary processes,and 28 tertiary processes.The questionnaire response rate for both rounds of expert consultation was 100％,with an expert authority coefficient of 0.875.The Kendall's coefficient of concordance was higher in the second round compared to the first.Conclusions:The standardized AMI emergency care process constructed in this study,based on process reengineering theory,demonstrates strong scientific rigor,reliability,and practicality.It holds significant importance for improving the quality and efficiency of AMI emergency care and provides new insights for the training of specialized chest pain nurses.
Keywords：acute myocardial infarctionemergency care processchest pain centerprocess reengineering
Publication Date：2025-03-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 991-996 )