메뉴 건너뛰기




Volumn 19, Issue 2, 2010, Pages 107-116

Utilizing DMAIC six sigma and evidence-based medicine to streamline diagnosis in chest pain

Author keywords

Best practices; Evidence based medicine; Informed decision making; Medical diagnosis; Process efficiency; Six Sigma

Indexed keywords

ARTICLE; EVIDENCE BASED MEDICINE; HEALTH CARE QUALITY; HUMAN; METHODOLOGY; PRODUCTIVITY; THORAX PAIN; TOTAL QUALITY MANAGEMENT;

EID: 77950192362     PISSN: 10638628     EISSN: 15505154     Source Type: Journal    
DOI: 10.1097/QMH.0b013e3181db6432     Document Type: Article
Times cited : (17)

References (41)
  • 4
    • 33847676571 scopus 로고    scopus 로고
    • US Department of Health and Human Services. Accessed May 25, 2009
    • US Department of Health and Human Services. National health expenditure data: historical. http://www.cms.hhs.gov/ NationalHealthExpendData/02 NationalHealthAccounts Historical. asp#TopOfPage. Accessed May 25, 2009.
    • National Health Expenditure Data: Historical
  • 6
    • 77950216664 scopus 로고    scopus 로고
    • Deloitte & Touche. Published April 6, Accessed May 25, 2009
    • Deloitte & Touche. 43% of consumers turn to Internet for answers about their health care. http://www.bioresearchonline. com/article.mvc/43-OF- CONSUMERS-TURN-TO-INTERNETFOR- ANSWERS-0001?VNETCOOKIE=NO. Published April 6, 1999. Accessed May 25, 2009.
    • (1999) 43% of Consumers Turn to Internet for Answers about Their Health Care
  • 7
    • 12944335006 scopus 로고    scopus 로고
    • Evidence-based medicine: A unified approach
    • Eddy DM. Evidence-based medicine: a unified approach. Health Aff. 2005;24(1):9-17.
    • (2005) Health Aff , vol.24 , Issue.1 , pp. 9-17
    • Eddy, D.M.1
  • 8
    • 4344599871 scopus 로고    scopus 로고
    • On the origins and development of evidencebased medicine and medical decision-making
    • Elstein AS. On the origins and development of evidencebased medicine and medical decision-making. Inflamm Res. 2004;53(suppl 2):S184-S189.
    • (2004) Inflamm Res , vol.53 , Issue.SUPPL. 2
    • Elstein, A.S.1
  • 11
    • 77950278084 scopus 로고    scopus 로고
    • Investigating chest pain: An evidence-based approach
    • April, Accessed May 20, 2009
    • Graber MA, Scheckel SJ. Investigating chest pain: an evidence-based approach. Emergency Medicine. April 2001. http://www.emedmag.com/html/pre/cov/ covers/041501.asp. Accessed May 20, 2009.
    • (2001) Emergency Medicine
    • Graber, M.A.1    Scheckel, S.J.2
  • 12
    • 77950249429 scopus 로고    scopus 로고
    • University of North Carolina Health Sciences Library. Accessed June 20, 2009
    • University of North Carolina Health Sciences Library. What is evidence-based medicine (EBM)? http://www.hsl.unc.edu/ Services/Tutorials/EBM/ whatis.htm. Accessed June 20, 2009.
    • What Is Evidence-based Medicine (EBM)?
  • 13
    • 0003687932 scopus 로고    scopus 로고
    • Accessed May 15, 2009
    • American Heart Association. Cardiovascular disease statistics. http://www.americanheart.org/presenter.jhtml?identifier=4478. Accessed May 15, 2009.
    • Cardiovascular Disease Statistics
  • 14
    • 77950209558 scopus 로고    scopus 로고
    • Accessed June 1, 2009
    • American Heart Association. Electrocardiogram (EKG or ECG). http://www.americanheart.org/presenter.jhtml?identifier=3005172. Accessed June 1, 2009.
    • Electrocardiogram (EKG or ECG)
  • 15
    • 0025151306 scopus 로고
    • Ten-year followup of survival and myocardial infarction in the randomized Coronary Artery Surgery Study
    • Alderman EL, Bourassa MG, Cohen LS, et al. Ten-year followup of survival and myocardial infarction in the randomized Coronary Artery Surgery Study. Circulation. 1990;82(5):1629-1646.
    • (1990) Circulation , vol.82 , Issue.5 , pp. 1629-1646
    • Alderman, E.L.1    Bourassa, M.G.2    Cohen, L.S.3
  • 16
    • 33745765209 scopus 로고    scopus 로고
    • Direct hospital costs of chest pain patients attending the emergency department: A retrospective study
    • Forberg JL, Henriksen LS, Edenbrandt L, Ekelund U. Direct hospital costs of chest pain patients attending the emergency department: a retrospective study. BMC Emerg Med. 2006; 6:6.
    • (2006) BMC Emerg Med , vol.6 , pp. 6
    • Forberg, J.L.1    Henriksen, L.S.2    Edenbrandt, L.3    Ekelund, U.4
  • 17
    • 0026803413 scopus 로고
    • Results of a second-opinion trial among patients recommended for coronary angiography
    • Graboys TB, Biegelsen B, Lampert S, Blatt CM, Lown B. Results of a second-opinion trial among patients recommended for coronary angiography. JAMA. 1992;268(18):2537-2540.
    • (1992) JAMA , vol.268 , Issue.18 , pp. 2537-2540
    • Graboys, T.B.1    Biegelsen, B.2    Lampert, S.3    Blatt, C.M.4    Lown, B.5
  • 18
    • 0023665048 scopus 로고
    • Results of a second-opinion program for coronary artery bypass graft surgery
    • Graboys TB, Headley A, Lown B, Lampert S, Blatt CM. Results of a second-opinion program for coronary artery bypass graft surgery. JAMA. 1987;258:1611-1614.
    • (1987) JAMA , vol.258 , pp. 1611-1614
    • Graboys, T.B.1    Headley, A.2    Lown, B.3    Lampert, S.4    Blatt, C.M.5
  • 19
    • 0021677886 scopus 로고
    • Stress and the aching heart
    • Graboys TB. Stress and the aching heart. N Engl J Med. 1984;311(9):594-595.
    • (1984) N Engl J Med , vol.311 , Issue.9 , pp. 594-595
    • Graboys, T.B.1
  • 21
    • 0019966134 scopus 로고
    • Survival of medically treated patients in the coronary artery surgery study (CASS) registry
    • Mock MB, Ringqvist I, Fisher LD, et al. Survival of medically treated patients in the coronary artery surgery study (CASS) registry. Circulation. 1982;66:562-568.
    • (1982) Circulation , vol.66 , pp. 562-568
    • Mock, M.B.1    Ringqvist, I.2    Fisher, L.D.3
  • 24
    • 35148818363 scopus 로고    scopus 로고
    • Effectiveness and safety of chest pain assessment to prevent emergency admissions: ESCAPE cluster randomised trial
    • Goodacre S, Cross E, Lewis C, Nicholl J, Capewell S. Effectiveness and safety of chest pain assessment to prevent emergency admissions: ESCAPE cluster randomised trial. BMJ. 2007;335:659.
    • (2007) BMJ , vol.335 , pp. 659
    • Goodacre, S.1    Cross, E.2    Lewis, C.3    Nicholl, J.4    Capewell, S.5
  • 25
    • 77950269037 scopus 로고    scopus 로고
    • Accessed June 20, 2009
    • WebMD. Heart disease guide. http://www.webmd.com/heartdisease/ guide/heart-disease-diagnosis-tests. Accessed June 20, 2009.
    • Heart Disease Guide
  • 26
    • 0037125367 scopus 로고    scopus 로고
    • Immediate exercise testing to evaluate low-risk patients presenting to the emergency department with chest pain
    • Amsterdam E, Kirk J, Diercks D, LewisW, Turnipseed S. Immediate exercise testing to evaluate low-risk patients presenting to the emergency department with chest pain. J Am Coll Cardiol. 2002;40(2):251-256.
    • (2002) J Am Coll Cardiol , vol.40 , Issue.2 , pp. 251-256
    • Amsterdam, E.1    Kirk, J.2    Diercks, D.3    Lewis, W.4    Turnipseed, S.5
  • 27
    • 24744445333 scopus 로고    scopus 로고
    • Dobutamine stress echo is superior to exercise stress testing in achieving target heart rate among patients on beta blockers
    • Sabbath A, Pack M, Markiewicz R, et al. Dobutamine stress echo is superior to exercise stress testing in achieving target heart rate among patients on beta blockers. Cardiology. 2005;104(3):138-142.
    • (2005) Cardiology , vol.104 , Issue.3 , pp. 138-142
    • Sabbath, A.1    Pack, M.2    Markiewicz, R.3
  • 28
    • 0034687117 scopus 로고    scopus 로고
    • Safety and utility of exercise testing in emergency room chest pain centers
    • Stein R, Chaitman B, Balady G, et al. Safety and utility of exercise testing in emergency room chest pain centers. Circulation. 2000;102:1463-1467.
    • (2000) Circulation , vol.102 , pp. 1463-1467
    • Stein, R.1    Chaitman, B.2    Balady, G.3
  • 29
    • 0018731514 scopus 로고
    • The risk and cost of coronary angiography, I: Cost of coronary angiography in Washington State
    • Hansing CE. The risk and cost of coronary angiography, I: cost of coronary angiography in Washington State. JAMA. 1979;242(8):731-734.
    • (1979) JAMA , vol.242 , Issue.8 , pp. 731-734
    • Hansing, C.E.1
  • 30
    • 0022234126 scopus 로고
    • The decision concerning coronary angiography in patients with chest pain: A costeffectiveness analysis
    • Doubilet P, McNeil B, Weinstein M. The decision concerning coronary angiography in patients with chest pain: a costeffectiveness analysis. Med Decis Making. 1985;5(3):293-309.
    • (1985) Med Decis Making , vol.5 , Issue.3 , pp. 293-309
    • Doubilet, P.1    McNeil, B.2    Weinstein, M.3
  • 33
    • 77950252647 scopus 로고    scopus 로고
    • Accessed February 28, 2010
    • MayoClinic.com. Nuclear stress test. http://www.mayoclinic. com/health/nuclear-stress-test/MY00994. Accessed February 28, 2010.
    • Nuclear Stress Test
  • 34
    • 77950194745 scopus 로고    scopus 로고
    • Accessed May 20, 2009
    • Centers for Disease Control and Prevention. FastStats: heart disease. http://www.cdc.gov/nchs/fastats/heart.htm. Accessed May 20, 2009.
    • FastStats: Heart Disease
  • 35
    • 0034690116 scopus 로고    scopus 로고
    • Evaluation of the patient with acute chest pain
    • Lee T, Goldman L. Evaluation of the patient with acute chest pain. N Engl J Med. 2000;342(16):1187-1195.
    • (2000) N Engl J Med , vol.342 , Issue.16 , pp. 1187-1195
    • Lee, T.1    Goldman, L.2
  • 37
    • 77950217539 scopus 로고    scopus 로고
    • Accessed June 20, 2009
    • Texas Heart Institute Heart Information Center. Vulnerable plaque. http://www.texasheartinstitute.org/HIC/Topics/cond/ vulplaq.cfm. Accessed June 20, 2009.
    • Vulnerable Plaque
  • 39
    • 0033789071 scopus 로고    scopus 로고
    • The challenge of evaluating the patient with chest pain
    • Kahn SE. The challenge of evaluating the patient with chest pain. Arch Pathol Lab Med. 2000;124(10):1418-1419.
    • (2000) Arch Pathol Lab Med , vol.124 , Issue.10 , pp. 1418-1419
    • Kahn, S.E.1
  • 40
    • 34247113737 scopus 로고    scopus 로고
    • Optimal medical therapy with or without PCI for stable coronary disease
    • Boden WE, O'Rourke RA, Teo KK, et al. Optimal medical therapy with or without PCI for stable coronary disease. N Engl J Med. 2007;356:1503-1516.
    • (2007) N Engl J Med , vol.356 , pp. 1503-1516
    • Boden, W.E.1    O'Rourke, R.A.2    Teo, K.K.3
  • 41
    • 77950260320 scopus 로고    scopus 로고
    • Accessed February 28, 2010
    • UpToDate. Stress testing for the diagnosis of coronary heart disease. http://www.uptodate.com/patients/content/topic.do? topicKey=?74123/ dhc3&selectedTitle=2%7E150source= search result. Accessed February 28, 2010.
    • Stress Testing for the Diagnosis of Coronary Heart Disease


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.