11/19/2023 0 Comments Istat troponin procedure![]() Secondly, an intermediate risk group who can be assessed to exclude ACS after 2 hours and an inpatient exercise stress test.Ģ017-18: ImpACT Aboriginal and Torres Strait Islander Research Project Firstly, a low risk group who can receive accelerated assessment to rule out acute coronary syndrome (ACS) after 2 hours, and no longer require additional objective testing for coronary artery disease. The ImpACT pathway has two components which encompass up to 75 per cent of patients presenting to emergency departments with possible cardiac chest pain. Translating research findings into practice, the project has made rapid improvements in the assessment process of patients presenting with chest pain to Queensland emergency departments. The second stage of the ACRE project involved implementing the Improved Assessment of Chest pain Trial (ImpACT) protocol, an accelerated diagnostic protocol for assessment of patients with possible cardiac chest pain. The ACRE project team worked with Queensland Health hospitals with access to laboratory testing to implement the most appropriate, safe, and efficient accelerated diagnostic protocol (ADP) based on the capacity and resources of each facility.Ģ016 – 2018: Improved Assessment of Chest pain Trial (ImpACT) protocol Rollout This change was a great opportunity for emergency departments to adopt the best evidence-based care available. The introduction of the Beckman Coulter Access hsTnI assay across Queensland provided important and exciting implications for the assessment of patients with possible cardiac chest pain. Further testing will continue throughout the course of the roll-out.Ģ018 - 2022: Accelerated care utilising the New Troponin Assay for Queensland Health The new assay and assessment strategy have been validated in a prospective, multi-centre trial of more than 2000 patients across six Queensland hospitals. The new high sensitivity cardiac troponin assay is being implemented in a staged roll-out across Queensland Health laboratories throughout 2022 as instruments are upgraded. For more information about the new troponin assay, visit the Resources page.Ģ022 ongoing: Introduction of the Siemens Atellica IM High-Sensitivity Troponin I assay This includes facilitating the implementation of a 3 hour assessment timeframe for high risk patients in addition to the safe and efficient management of low and intermediate risk patients.ĭue to upgrades to testing instruments, Pathology Queensland (PQ) are introducing a new high sensitivity cardiac troponin assay to all Queensland Health laboratories throughout 2022. With the introduction of the high sensitivity troponin assay in late 2018, the ACRE team is working with Queensland hospitals to promote the most effective utilisation of this assay by introducing accelerated patient management protocols. From 2016-2018, the Improved Assessment of Chest pain Trial (ImpACT) protocol was implemented in 9 hospitals. ![]() This has resulted in reduced length of stay (both ED and total hospital stay) and hospital admissions through implementation of protocols able to safely and rapidly assess patients at low and intermediate risk of Acute Coronary Syndrome (ACS).įrom 2012 to 2015, the ACRE project initiated implementation of the ADAPT protocol in 19 hospitals. Since 2012, the ACRE project has worked with EDs across Queensland to implement the most current, evidence-based ADPs, thereby improving the evaluation of patients with possible cardiac chest pain. The project utilises clinical redesign methodology to support adoption of accelerated diagnostic protocols (ADPs) that are evidence-based, safe, and patient focused. The ACRE project aims to facilitate implementation of the best evidence for the safe and efficient evaluation of patients presenting to emergency department (EDs) with possible cardiac chest pain. The Accelerated Chest Pain Risk Evaluation (ACRE) project is a statewide project supported by the Healthcare Improvement Unit. ![]()
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