Educational Series | EKG for Non-Traumatic Chest Pain

11 measures Antibiotic

stewardship• #66: Pharyngitis patients

given an abx who had strep test performed

• #91: Patients with Otitis Externa given a topical abx

• #93: Patients with Otitis Externa not given a systemic abx

• #116: 18-64 y/o with bronchitis not given abxwithin 3 days of encounter

Choosing Wisely:Head CT Utilization

• #416: 2-17 y/o with appropriate head CT for blunt head trauma (PECARN rules)

• #415: 18+ y/o with appropriate head CT ordering for blunt head trauma

PregnancyMeasures

• #254: US localization of pregnancy in pregnant pts with abd pain

• #255: Rhogam for Rh negative patients at risk

Miscellaneous

• #54: EKG for non-traumatic chest pain

• #76: Proper sterile technique for CVC placement

• #317: BP Screening and follow up documented

#54: EKG for non-traumatic chest pain

Week 1

#54.Inclusion

1. Patients > 40 years old

2. Diagnosis of Non traumatic chest pain

3. Numerator: All patients satisfying #1 and #2 with EKG done

4. Denominator: All patients > 40 with a diagnosis of non-Traumatic Chest Pain seen in an ED

#54.Exclusion Examples

1. Patient Reason:• Patient refused EKG• Patient in cardiac arrest, unable

to perform EKG

2. Medical reason:• Pain not considered cardiac• Very few exceptions otherwise

Best PracticesAcceptable exclusions:1. The diagnoses “Muscular Chest Pain”, “Chest Wall Pain” are both acceptable as both

specifically reference the alternate source of pain.2. The statement “Pain not felt to be cardiac source” is also acceptable.

Not Acceptable:1. The diagnosis “Atypical chest pain” or other non-specific diagnosis.2. The statement “Pain is possibly related to cardiac disease, but unlikely.”