Background Patients with cardiogenic shock have a 25% to 50% mortality rate despite the introduction of mechanical circulatory devices and coordinated medical treatment. The use of shock teams has improved outcomes for these patients. Local Problem A cardiovascular hospital with a multidisciplinary shock team had inconsistency and delays in recognition and diagnosis of patients with cardiogenic shock. Methods A nurse-led, preintervention-postintervention quality improvement project was performed in April and May 2021 and in April and May 2022 within a cardiovascular hospital in north Texas. The 2 nursing staff interventions regarding shock team activation were education and shock alert implementation. Time from first signs to diagnosis (for inpatients) and time from initial transfer request to acceptance (for transferring patients) were measured. Descriptive and statistical analyses were conducted using R, version 4.0.0 (R Foundation for Statistical Computing). Results The mean (SD) time to diagnosis of cardiogenic shock decreased significantly from 17.98 (28.39) hours in the preintervention group (n = 25) to 8.15 (12.26) hours in the postintervention group (n = 45; P = .045). For patients with cardiogenic shock transferring from referring hospitals, the median (IQR) time to acceptance was 1.55 (0.08-3.18) hours in the preintervention group and 0.35 (0.00-0.72) hours in the postintervention group (P &amp;lt; .001). Conclusions Nursing staff interventions regarding shock team activation significantly improved the time of diagnosis and acceptance of patients with cardiogenic shock in a cardiovascular hospital, enhancing the overall quality of care provided to these patients.

Suzanne Krais

Jenelle Sheasby

Jasjit Banwait

Natalie Lewis

Zhaoli Liu

Critical Care Nurse

重症监护护士 (CCN) 是美国重症监护护士协会 (AACN) 的官方出版物。邀请作者提交手稿以供考虑和同行评审。临床主题必须符合 CCN 的使命，并解决急危重症患者的护理实践。

Critical Care Nurse is the official publication of the American Association of Critical-Care Nurses (AACN). We invite authors to submit manuscripts for consideration and peer review. Clinical topics must align with the mission of Critical Care Nurse and address the nursing practice for critically ill patients.

《Critical Care Nurse》是美国重症监护护士协会（AACN）的官方出版物。我们欢迎作者提交手稿以供考虑和同行评审。临床主题必须符合《Critical Care Nurse》的使命，并关注急危重症患者的护理实践。

Category	Quartile
医学	4
医学, 危重病医学	4
医学, 护理	4

Improving Cardiogenic Shock Team Activation Through Nurse Education and Alert Implementation

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