Residents of Miaoli County
Acute coronary syndrome patients
Patients requiring emergency cardiac catheterization
Miao-Li Hospital is the only public hospital in Miaoli County, located in an emergency medical resource-deficient area. The Cardiovascular Center was established in September 2013, received accreditation for severe acute coronary syndrome emergency medical care in 2019, and acquired German high-resolution cardiac catheterization equipment in 2020. A comprehensive 24/7 emergency cardiac catheterization system has been established through collaboration with fire departments and allied hospitals, featuring physician support from outside institutions and green channel protocols to ensure timely treatment for patients.
24/7 emergency cardiac catheterization support year-round
Innovative image card rapid transmission and instant messaging communication system
Seamless coordination between outside physicians and in-house physicians, with external physician response rate of 51.1%
Optimized green channel protocol achieving D2W time less than 60 minutes, exceeding international standards
Regular meetings with fire departments and allied hospitals to strengthen regional medical networks
Comprehensive radiation safety protection with advanced equipment
Multi-disciplinary team collaboration in patient care
Total emergency cases during off-hours and holidays: 47 cases
External physician response rate: 51.1% (24 out of 47 cases)
D2W time (Door-to-Wire time) in recent two years: Less than 60 minutes
No significant difference in D2W time between in-house and external physicians (t=-1.844, p>0.05)
Green channel protocol significantly reduces D2W time compared to standard pathway (t=-7.920, p<0.001)
Pre-hospital ECG transmission significantly reduces vessel opening time
Recent D2W time performance exceeds international standards (<60 minutes)
Comprehensive radiation safety testing records
Complete radiation protection equipment in catheterization laboratory
Well-organized on-call schedule for 24/7 emergency cardiac catheterization
Patient satisfaction surveys conducted for all outpatient, emergency, and inpatient cases
Systematic quantitative satisfaction data collection
D2W time less than 60 minutes, exceeding international standards
Integration of international recommendations into clinical protocols
Reduced emergency preparation time for acute coronary syndrome patients
Shortened post-arrival emergency care pathways for acute myocardial infarction patients
Significant thrombolytic efficacy in patients with complete hemodialysis fistula occlusion
Successful catheter intervention for complete fistula occlusion in end-stage renal disease patients
Effective targeted temperature management in post-resuscitation patients
Continuous improvement in ST-elevation myocardial infarction treatment quality
Clinical value of red blood cell distribution width as auxiliary diagnostic marker for myocardial infarction
Optimized cardiac tumor care quality for cancer patients
