Healthcare Quarterly

Healthcare Quarterly 9(1) January 2006 : 56-61.doi:10.12927/hcq.2006.17905
Ideas at Work

Application of Lean Six Sigma for Patients Presenting with ST-Elevation Myocardial Infarction: The Hamilton Health Sciences Experience

Ayad Aldarrab, Christopher MB Fernandes, James Velianou, Madhu Natarajan, Rosanne Zimmerman, Rhonda Smith, Teresa Smith and Jennifer Pickering


Most patients with symptomatic acute myocardial infarction (AMI), the leading cause of death in most western industrialized nations (Gillum 1994), use the emergency department (ED) as their point of entry. Early identification and timely intervention improve outcomes in patients with AMI. McClellan et al. (1994) demonstrated significant improvement in mortality and morbidity with early management of elderly patients with AMI. One identified barrier to early recognition of patients with AMI is ED overcrowding.



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