You recently reported on a national study of ED care from 1998 to 2004 ("Substandard E.D. Care: Treatment for MI, Pneumonia Falls Short," Clinical Rounds, January 2008).* Researchers found that the quality of care for patients with myocardial infarction or pneumonia was "below national goals" during the study period.
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As a performance improvement coordinator, I'm involved with quality measures. My opinion is that ED care for patients with these conditions has greatly improved in the last 4 years. Additional quality initiatives, such as using order sets and protocols, have helped hospitals improve their data and outcomes.
DOREEN WALLACE, RN
La Plata, Md.
Pham JC, et al., National study on the quality of emergency department care in the treatment of acute myocardial infarction and pneumonia, Academic Emergency Medicine, October 2007.
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