JACC. Case reports · 2026
Standardizing Echocardiography Workflow to Reduce Length of Stay After Uncomplicated STEMI.
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Warrington Christopher, Ghantous Andre, Elwell Joy, Bott Kristin
Аннотация
BACKGROUND: Delayed transthoracic echocardiogram (TTE) completion may prolong hospitalization after uncomplicated ST-segment elevation myocardial infarction (STEMI).
PROJECT RATIONALE: Hartford Hospital identified inconsistent, person-dependent prioritization of TTE, which could delay diagnostic finalization, discharge readiness, and patient throughput.
PROJECT SUMMARY: A standardized electronic health record-supported communication workflow was implemented for eligible uncomplicated patients with STEMI. Preimplementation cases from November-December 2025 were compared with postimplementation cases from March-April 2026. Among 52 cases, mean TTE finalization decreased from 21.8 to 18.6 hours, length of stay decreased from 54.5 to 51.6 hours, and the order-to-finalization interval improved by 29.5%.
TAKE-HOME MESSAGES: Standardized TTE communication improved diagnostic timeliness and was associated with shorter hospitalization. Reliable electronic health record-supported workflows may reduce process-dependent delays after uncomplicated STEMI.
PROJECT RATIONALE: Hartford Hospital identified inconsistent, person-dependent prioritization of TTE, which could delay diagnostic finalization, discharge readiness, and patient throughput.
PROJECT SUMMARY: A standardized electronic health record-supported communication workflow was implemented for eligible uncomplicated patients with STEMI. Preimplementation cases from November-December 2025 were compared with postimplementation cases from March-April 2026. Among 52 cases, mean TTE finalization decreased from 21.8 to 18.6 hours, length of stay decreased from 54.5 to 51.6 hours, and the order-to-finalization interval improved by 29.5%.
TAKE-HOME MESSAGES: Standardized TTE communication improved diagnostic timeliness and was associated with shorter hospitalization. Reliable electronic health record-supported workflows may reduce process-dependent delays after uncomplicated STEMI.