An Updated Healthcare System-Wide Clinical Pathway for Managing Patients With Chest Pain and Acute Coronary Syndromes.

Publication Type Academic Article
Authors Brener M, Tung J, Stant J, Sayan O, Suh E, Minutello R, Sharma R, Brener S, Melniker L, Moustakakis E, Neuberg G, Breen L, Nutovits R, Kats Y, Amaranto A, Pucillo A, Kirtane A, Rabbani L
Journal Crit Pathw Cardiol
Volume 18
Issue 4
Pagination 167-175
Date Published 12/01/2019
ISSN 1535-2811
Keywords Acute Coronary Syndrome, Chest Pain, Critical Pathways, Non-ST Elevated Myocardial Infarction, ST Elevation Myocardial Infarction
Abstract Clinical pathways reinforce best practices and help healthcare institutions standardize care delivery. The NewYork-Presbyterian/Columbia University Irving Medical Center has used such a pathway for the management of patients with chest pain and acute coronary syndromes for almost 2 decades. A multidisciplinary panel of stakeholders serially updates the algorithm according to new data and recently published guidelines. Herein, we present the 2019 version of the clinical pathway. We explain the rationale for changes to the algorithm and describe our experience expanding the pathway to all the 8 affiliated institutions within the NewYork Presbyterian healthcare system.
DOI 10.1097/HPC.0000000000000189
PubMed ID 31725507
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