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Implementation of accelerated troponin testing in the emergency department for chest pain

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TitleInfo
Title
Implementation of accelerated troponin testing in the emergency department for chest pain
Name (type = personal)
NamePart (type = family)
Abadinas
NamePart (type = given)
Ria Charisma S.
NamePart (type = date)
1984-
DisplayForm
Ria Charisma S. Abadinas
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Kamienski
NamePart (type = given)
Mary
DisplayForm
Mary Kamienski
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
Kelly
NamePart (type = given)
Stephen
DisplayForm
Stephen Kelly
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
outside member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Nursing - RBHS
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (encoding = w3cdtf); (keyDate = yes); (qualifier = exact)
2019
DateOther (encoding = w3cdtf); (qualifier = exact); (type = degree)
2019-05
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract (type = abstract)
Chest pain is one of the leading complaints for patients in the emergency department (ED) that requires a thorough evaluation. This often results in extended lengths of stay, excessive use of unnecessary resources, and over crowding in the ED. The implementation of an accelerated diagnostic protocol, such as the HEART pathway, with the use of accelerated troponin testing will help to address these issues. Adult patients with chest pain will have their HEART score calculated and a low risk score between 0-3 will determine their eligibility to participate in the research project. Two sets of serial troponins will be tested with 3 hours between each test. A negative trend in troponins will make patients eligible for early discharge. Patients will be contacted 30 days from discharge to assess for any risks of major adverse cardiac events (MACE). The results of enrolled patients will be inputted into a spreadsheet, which will then be analyzed using the Statistical Package for the Social Science (SPSS), version 23.0. Successful results of the project will contribute to economic and cost benefits by decreasing the unnecessary use of resources, and by improving wait times in the ED through a decreased length of stay. It will also impact healthcare quality by providing a rapid, safe, and effective tool in the evaluation of patients with chest pain.
Subject (authority = local)
Topic
Accelerated troponin
Subject (authority = RUETD)
Topic
Family Nurse Practitioner in Emergency Care
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_9966
PhysicalDescription
Form (authority = gmd)
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application/pdf
InternetMediaType
text/xml
Extent
1 online resource (64 pages) : illustrations
Note (type = degree)
DNP
Note (type = bibliography)
Includes bibliographical references
TitleInfo (type = alternative)
Title
Evaluating the use of accelerated troponin
Subject (authority = LCSH)
Topic
Biochemical markers -- Diagnostic use
Subject (authority = LCSH)
Topic
Chest pain
RelatedItem (type = host)
TitleInfo
Title
School of Nursing (RBHS) DNP Projects
Identifier (type = local)
rucore10004500001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/t3-xp1t-yt35
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Abadinas
GivenName
Ria Charisma
MiddleName
S.
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2019-05-17 22:21:05
AssociatedEntity
Name
Ria Charisma Abadinas
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
Type
Embargo
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2019-05-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2021-05-30
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 30th, 2021.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

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2019-05-18T02:16:10
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2019-06-10T07:55:29
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