Developing a mobile electronic D2B checklist for treatment of ST elevation myocardial infarction patients who need a primary coronary intervention

• Published in: Telemedicine journal and e-health Vol. 21; no. 4; p. 274
• Main Authors: Lin, Hung-Jung, Hsu, Min-Huei, Huang, Chien-Cheng, Liu, Chung-Feng, Tan, Che-Kim, Chou, Shu-Lien, Huang, Shou-Yung, Chen, Chia-Jung
• Format: Journal Article
• Language: English
• Published: United States 01.04.2015
• Subjects: Aged; Angioplasty, Balloon, Coronary - methods; Angioplasty, Balloon, Coronary - mortality; Checklist - instrumentation; Checklist - methods; Electrocardiography - methods; Emergency Medical Services - organization & administration; Female; Humans; Male; Middle Aged; Myocardial Infarction - diagnosis; Myocardial Infarction - mortality; Myocardial Infarction - therapy; Prognosis; Program Development; Risk Assessment; Survival Rate; Taiwan; Telecommunications - organization & administration; Time-to-Treatment; Treatment Outcome; door-to-balloon; system development life cycle; checklist; mobile information and communication technologies; ST elevation myocardial infarction
• ISSN: 1556-3669
• DOI: 10.1089/tmj.2014.0070

ST elevation myocardial infarction (STEMI), one main type of acute myocardial infarction with high mortality, requires percutaneous coronary intervention (PCI) with balloon inflation. Current guidelines recommend a door-to-balloon (D2B) interval (i.e., starts with the patient's arrival in the emergency department and ends when PCI with a catheter guidewire and balloon inflation crosses the culprit lesion) of no more than 90 min. However, promptly implementing PCI requires coordinating various medical teams. Checklists can be used to ensure consistency and operating sequences when executing complex tasks in a clinical routine. Developing an effective D2B checklist would enhance the care of STEMI patients who need PCI. Mobile information and communication technologies have the potential to greatly improve communication, facilitate access to information, and eliminate duplicated documentation without the limitations of space and time. In a research project by the Chi Mei Medical Center, "Developing a Mobile Electronic D2B Checklist for Managing the Treatment of STEMI Patients Who Need Primary Coronary Intervention," a prototype version of a mobile checklist was developed. This study describes the research project and the four phases of the system development life cycle, comprising system planning and selection, analysis, design, and implementation and operation. Face-to-face interviews with 16 potential users were conducted and revealed highly positive user perception and use intention toward the prototype. Discussion and directions for future research are also presented.