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Table 2 Summarized recommendations to enhance the effectiveness of inter-facility transfers for STEMI identified from interviews

From: Breaking down walls: a qualitative evaluation of perceived emergency department delays for patients transferred with ST-elevation myocardial infarction

Theme

Recommendation

Process and Protocols

1. Develop and review STEMI transfer protocols to identify a limited number of highly important actions

2. Identify and agree upon a limited set of performance goals for inter-organizational performance that are regularly shared

Communication

3. Develop formal mechanisms for patient outcome reporting for STEMI patients transferred that include the entire treating team at all locations

4. Shared electronic medical records between organizations

Resources

5. Recruit individuals focusing on experience and organizational fit as desirable characteristics

6. Develop realistic formal training for inter-facility transfers (e.g., simulations) that emphasize teamwork and enhances shared familiarity with the processes