An Evaluation of the Feasibility and Safety of Increasing Low-Risk Chest Pain Discharges from the Emergency Department Through the Use of High-Sensitivity Troponin
Emergency department (ED) waiting room utilization is an unsafe and costly proposition. Patients who simply divulge their chief complaints, prior to placement in the waiting room, remain unstratified for risk and are extremely dangerous. Patient decompensation in the waiting room is a catastrophic or “never” event. The inability to promptly access potentially lifesaving care due to ED overcrowding is unacceptable. ED’s can only be effectively decompressed through robust hospital patient throughput or “flow.” Patients admitted for low-risk chest pain (LRCP) provide an opportunity for improved hospital flow, as these patients may be safely discharged directly from the ED using high-sensitivity troponin (HScTn).
Fisher, MD, Steven, "An Evaluation of the Feasibility and Safety of Increasing Low-Risk Chest Pain Discharges from the Emergency Department Through the Use of High-Sensitivity Troponin" (2021). Master of Science in Operational Excellence (OpX) Capstone Presentations. Paper 2.