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 Evidence-Based Strategies

D2B: An Alliance for QualityTM advocates the adoption of six key, evidenced-based strategies for reducing door-to-balloon times.  The six core strategies are:

  1. ED physician activates the cath lab;
  2. One call activates the cath lab;
  3. Cath lab team ready in 20 – 30 minutes;
  4. Prompt data feedback; 
  5. Senior management commitment;
  6. Team-based approach. 

A pre-hospital ECG to activate the cath lab is optional. These strategies were selected because of the evidence base and their feasibility. While other strategies exist, including having a cardiologist in the hospital 24/7, they are not required for participation in the D2BTM campaign.

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