Emergency Department Implementation of a Multimodal Electronic Health Record–Integrated Clinical Intervention for High-Sensitivity Troponin Testing Increases Diagnostic Efficiency
hs-cTnT transition was associated with a decrease in troponin testing, varied effects on downstream cardiac testing, and a concurrent increase in diagnostic yield without appreciable impact upon ED disposition. Physicians with preintervention outlier practice moved toward department norms postintervention. Together, these findings suggest the intervention promoted diagnostic quality for ED patients with suspected acute coronary syndrome.
Authors
- Stephen Possick
- Craig Rothenberg (ORCID: https://orcid.org/0000-0003-3594-600X)
- Rohit B. Sangal (ORCID: https://orcid.org/0000-0002-0435-7029)
- Mark Iscoe (ORCID: https://orcid.org/0000-0003-4446-2488)
- Nihar R. Desai (ORCID: https://orcid.org/0000-0003-2384-2545)
- Arjun K. Venkatesh (ORCID: https://orcid.org/0000-0002-8248-0567)
- Basmah Safdar (ORCID: https://orcid.org/0000-0002-9640-7133)
- Deborah J. Rhodes (ORCID: https://orcid.org/0000-0003-4408-6451)
- Richard A. Taylor (ORCID: https://orcid.org/0000-0002-9082-6644)
Institutions
- Yale University (US)
Publication Details
- Journal
- Journal of the American College of Emergency Physicians Open
- Published
- 2025-06-19
- DOI
- https://doi.org/10.1016/j.acepjo.2025.100202
- Primary Topic
- Acute Myocardial Infarction Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Yale New Haven Hospital