enrolled if they met the physical assessment a of chest radiography in criteria of being over decrease in costs and patients with chest the age of 24 years and time can be obtained in pain. 2.) ED patient their primary complaint the ED when caring for flow could experience at triage was chest pain. patients who present an increase if a rule 529 patients were with chest pain. was in place defining enrolled in the study which patients with and over 60% were chest pain required a males. Also of the 529 chest x-ray. 3.) patients, 21 had a Patients would have a history of CHF decreased exposure to (congestive heart radiation. 4.) failure) and 116 had a Healthcare costs could history of AMI (acute be decreased. myocardial infarction). Patients assessment was Significance for performed by the ED Project: 1.) The study physician and chest could be used as a tool radiographs were in the chest pain ordered if appropriate. diagnosis algorithm. The chest radiographs 2.) The information in were read by two the study will enhance blinded emergency my PICO question. 3.) department clinicians Observed a decrease in that categorized the healthcare costs and an results as normal, increase in patient flow abnormal-not requiring in the ED. 4.) Showed intervention, and that patients with a abnormal-requiring significant cardiac intervention according history or specific risk to the radiology factors need further findings and the evaluation. patient’s assessment.
enrolled if they met the criteria of being over the age of 24 years and their primary complaint at triage was chest pain. 529 patients were enrolled in the study and over 60% were males. Also of the 529 patients, 21 had a history of CHF (congestive heart failure) and 116 had a history of AMI (acute myocardial infarction). Patients assessment was performed by the ED physician and chest radiographs were ordered if appropriate. The chest radiographs were read by two blinded emergency department clinicians that categorized the results as normal, abnormal-not requiring intervention, and abnormal-requiring intervention according to the radiology findings and the patient’s assessment. physical assessment a decrease in costs and time can be obtained in the ED when caring for patients who present with chest pain. of chest radiography in patients with chest pain. 2.) ED patient flow could experience an increase if a rule was in place defining which patients with chest pain required a chest x-ray. 3.) Patients would have a decreased exposure to radiation. 4.) Healthcare costs could be decreased. Significance for Project: 1.) The study could be used as a tool in the chest pain diagnosis algorithm. 2.) The information in the study will enhance my PICO question. 3.) Observed a decrease in healthcare costs and an increase in patient flow in the ED. 4.) Showed that patients with a significant cardiac history or specific risk factors need further evaluation.
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