{
  "abstract": "Background: Dedicated quality oversight is increasingly recognized as essential to improving adherence to evidence-based care, data integrity, and patient outcomes in acute coronary syndrome (ACS) management. Nurses with cardiovascular expertise are uniquely positioned to bridge frontline care and organizational quality priorities.\n\nProject Rationale: A rural community hospital participating in the National Cardiovascular Data Registry lacked consistent cardiovascular quality oversight, resulting in variable adherence to care pathways, documentation gaps, and below-benchmark registry performance.\n\nProject Summary: A dedicated cardiovascular registered nurse (CVRN) quality role was implemented to oversee ACS care processes, improve documentation reliability, enhance interdisciplinary collaboration, and support accreditation efforts. Following implementation, key Chest Pain-MI Registry metrics improved from the 25th to 90th percentile, and the organization achieved dual American College of Cardiology accreditations.\n\nTake-Home Message: A dedicated CVRN quality role may improve ACS care reliability, registry performance, and interdisciplinary quality outcomes in rural health care settings.",
  "abstract_shown": true,
  "affiliations": [
    "Cardiac Cath Lab, CommonSpirit Mercy Hospital, Durango, Colorado, USA",
    "Heart & Vascular Program, CommonSpirit Mountain Region, Centennial, Colorado, USA"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Shelley C. Langenhorst"
    },
    {
      "affs": [
        1
      ],
      "name": "Amy Lantzy"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/4fffax11xkfx2.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.109307",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728294/",
  "id": "4fffax11xkfx2",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://doi.org/10.1016/j.jaccas.2026.109307",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Outcomes and Quality"
    ],
    [
      "heading",
      "Quality Improvement Projects"
    ],
    [
      "openalex",
      "3605|Healthcare Quality and Management"
    ]
  ],
  "openalex": "W7213423184",
  "pdf_url": null,
  "pmcid": "PMC13728294",
  "pmid": "42752030",
  "published": "2026-09-16",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/4fffax11xkfx2.ris",
  "sources": [
    {
      "first_seen": "2026-11-06T12:24:00Z",
      "native_id": "PMC13728294",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jaccas.2026.109307"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2705|Cardiac Valve Diseases and Treatments",
      "subfield": "cardiovascular"
    }
  ],
  "title": "From Door-to-Data",
  "title_text": "From Door-to-Data",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:21:18Z",
  "url": "https://research.draconitic.com/paper/4fffax11xkfx2",
  "venue": "JACC Case Reports",
  "versions": []
}