DOOR TO BALLOON SERVICE
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The document discusses quality indicators and door-to-balloon (D2B) service in the cardiac cath lab department of Bona Dea International Hospital. It defines D2B as the time from a patient's arrival in the emergency department to when a catheter guidewire crosses the culprit lesion in the cath lab for STEMI patients. American Heart Association guidelines recommend a D2B time of no more than 90 minutes. The document outlines steps to implement D2B service, such as early identification of STEMI patients, alerting the cardiac team, rapid transfer to the cath lab, and reducing door-to-needle times. Following a code STEMI pathway and coordination between team members can help reduce D2
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Nicole Krug has over 15 years of experience in clinical laboratories and is currently a Senior Technical Applications Specialist at Siemens Healthcare Diagnostics. She has a Bachelor of Science in Biological Sciences from Northern Illinois University and an Associate of Applied Science in Clinical Laboratory Sciences from Sauk Valley College. Krug has extensive experience in clinical laboratory management, technical consultation, training, and regulatory compliance across various testing platforms. She has received recognition for her expertise and customer service.
Qualitycontrolinclinicallaboratory
The issue of laboratory quality has evolved over more than 4 decades since the 1st recommendation for quality control were published in 1965
Now, quality control is seen as only one part of a total laboratory control program
Quality also includes:
a) Total Quality Management (TQM)→ an activity to improve pt. care by having the lab monitor, its work to detect deficiencies & subsequently correct them
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"Market Research it too text-booky, I am in the market for a decade, I am living research book" this is what the founder I met on the event claimed, few of my colleagues rolled their eyes. Its true that one cannot over look the real life experience, but one cannot out beat structured gold mine of market research.
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But Why do they skip it?
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Sudharsan Srinivasan
Operational Partner Pitchworks VC Studio
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Example of Market Research working
Innovaccer, founded by Abhinav Shashank in 2014, focuses on improving healthcare delivery through data-driven insights and interoperability solutions. Before launching their platform, Innovaccer conducted extensive market research to understand the challenges faced by healthcare organizations and the potential for innovation in healthcare IT.
Identifying Pain Points: Innovaccer surveyed healthcare providers to understand their difficulties with data integration, care coordination, and patient engagement. They found widespread frustration with siloed systems and inefficient workflows.
Competitive Analysis: Analyzed competitors offering similar solutions in healthcare analytics and interoperability. Identified gaps in comprehensive data aggregation, real-time analytics, and actionable insights.
Regulatory Compliance: Ensured their platform complied with HIPAA and other healthcare data privacy regulations. This compliance was crucial to gaining trust from healthcare providers wary of data security issues.
Customer Validation: Conducted pilot programs with several healthcare organizations to validate the platform's effectiveness in improving care outcomes and operational efficiency. Gathered feedback to refine features and user interface.
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3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
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6:个人职称评审加20分
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【关于价格问题（保证一手价格）】
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
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DOOR TO BALLOON SERVICE
- 1. BONA DEA INTERNATIONAL HOSPITAL. CARDIAC CATH LAB DEPARTMENT •DOOR TO BALLOON SERVICE NISSARABDUL HEAD OF CARDIAC CATH LAB 90 MIN
- 2. CATH LAB QUALITY INDICATORS • Quality Indicators (QIs) are standardized, evidence-based measures of health care quality that can be used with readily available hospital inpatient administrative data to measure and track clinical performance and outcomes.
- 3. QUALITIY INDICATORS IN CATH LAB • STRUCTURAL MESSURES Volume of Procedures. Physician Certifications • PROCESS MESSURES Discharge Medications. Door To Balloon Service • OUTCOME MESSURES Risk adjusted Mortality Complications Readmission
- 4. WHAT IS DOOR TO BALL0ON (D2B) SERVICES? DOOR-TO-BALLOON IS A TIME MEASUREMENT IN EMERGENCY CARDIAC CARE (ECC), SPECIFICALLY IN THE TREATMENT OF ST SEGMENT ELEVATION MYOCARDIAL INFARCTION (OR STEMI). THE INTERVAL STARTS WITH THE PATIENT'S ARRIVAL IN THE EMERGENCY DEPARTMENT, AND ENDS WHEN A CATHETER GUIDEWIRE CROSSES THE CULPRIT LESION IN THE CARDIAC CATH LAB
- 5. AHA GUIDELINES • ACC/AHA guidelines recommend a door-to-balloon interval of no more than 90 minutes • 30 minutes from the time symptoms start to the time the patient has engaged medical care, a diagnosis of STEMI has been made and the cardiac cath team is alerted. • 30 minutes from cardiology team mobilization to patient arrival in the cardiac cath lab. • 30 minutes from start of the procedure to the opening of the blocked artery.*
- 6. HOW TO IMPLEMENT DOOR TO BALLOON SERVICE • EARLY IDENTIFICATION. • ALERTING EMERGENCY CARDIAC TEAM/ON CALL STAFF • RAPID TRANSFER • DOOR TO NEEDLE TIME
- 7. WHAT CAN HELP TO REDUCE D2B • Following CODE STEMI PATHWAY • Coordination between Team Members.
- 10. •THANK YOU