Chest Pain Pathway - aci.health.nsw.gov.au · STEMI Reperfusion Pathway EXIT PATHWAY PCI uRGCNt...

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Chest Pain Pathway Maybe, finally, possibly

John Mackenzie ECI Medical project Officer

The final, final, final, final version

Consultation Map

What have we achieved?

Everybody that wanted to has had a say We wanted it to flow the way we think about all clinical issues • Assess clinically and determine risk • Add tests • Make a decision for management and disposition It had to work for small places with less experienced clinicians Had to be acceptable to EDs and cardiologists and CNCs

Requests

Has to be electronic Has to work with every patient ever who has a suspicion of ACS Has to be statewide

Who has contributed

Statewide clinician reviews: approx. 200 nurses and doctors ACI Cardiac Network and Emergency Care Institute NSW Pathology and Chemical Pathology Leads for all LHDs CEC Human Factors specialists Statewide forms committee Tested on clinicians from all backgrounds from all areas, none of whom were harmed in the process

Why use it?

To be cool To avoid variation To not miss ACS

END

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