Ensayos clínicos

Inclusion Criteria - Sample Cohort:

• Date of service within 1 year of implementing the CPC-pathway at each site (the prior year)
• Patient age 30+
• Visit was diagnosed as nontraumatic chest pain
• First troponin result was <99th percentile
• A sample cohort will be taken again at the end of the study for the 12-month period during the intervention phase, and the inclusion criteria will be the same.
• At 60-days post-discharge, we will review the medical record to determine whether the participant has returned to the Emergency Department, had other visits with the participating health system, and to assess 60-day mortality status. If 60-day mortality status is not available within the health system’s medical records, we will acquire 60-day mortality data from Accurint, a national database used by debt collection agencies, to assess mortality status.

Inclusion Criteria - Intervention Group (survey participants):

• Date of service is during intervention phase
• Patient age 30+
• Chief complaint or ED diagnosis is nontraumatic chest pain
• First troponin result is <99th percentile

Inclusion Criteria - Focus Group:

• Physicians and Residents of participating Departments of Emergency Medicine, as well as Nurses and Managers working in the same

Inclusion Crteria - Clinicans:

• Physicians and Residents from the participating Departments of Emergency Medicine