{
  "abstract": "Background: Patients requiring emergency extracorporeal membrane oxygenation (ECMO) support at UNC Health Rex—54% of whom presented with myocardial infarction—faced prolonged and inconsistent transfer times to the UNC Medical Center.\n\nProject Rationale: A lack of standardized workflow contributed to variable response times, ambiguity around transportation responsibilities, and inefficiencies that could not meet the urgency required for ECMO candidates.\n\nProject Summary: This project used registry data to identify gaps, convened a multidisciplinary team to set goals, streamlined communication, revised protocols, optimized workflows, and targeted education to improve early recognition, coordination, and transfer efficiency for ECMO patients.\n\nTake-home Message: Despite challenges with aligning multiple specialties, changing long-standing habits, and coordinating resources across campuses, the team significantly reduced transfer times and created a sustainable model that strengthened systemwide care for critically ill ECMO patients.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Heart and Vascular Service, UNC Health Rex, UNC Health, Raleigh, North Carolina, USA"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Wynne Lok"
    },
    {
      "affs": [
        0
      ],
      "name": "Sandra G. Page"
    },
    {
      "affs": [
        0
      ],
      "name": "Heather J. Price"
    },
    {
      "affs": [
        0
      ],
      "name": "Katie A. Rodwell"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/60b7mtqwg3j3q.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.110212",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728380/",
  "id": "60b7mtqwg3j3q",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://doi.org/10.1016/j.jaccas.2026.110212",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Outcomes and Quality"
    ],
    [
      "heading",
      "Quality Improvement Projects"
    ],
    [
      "openalex",
      "2705|Mechanical Circulatory Support Devices"
    ]
  ],
  "openalex": "W7213407863",
  "pdf_url": null,
  "pmcid": "PMC13728380",
  "pmid": "42752033",
  "published": "2026-09-16",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/60b7mtqwg3j3q.ris",
  "sources": [
    {
      "first_seen": "2026-11-07T12:21:23Z",
      "native_id": "PMC13728380",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jaccas.2026.110212"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Mechanical Circulatory Support Devices",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Cannulation Navigation",
  "title_text": "Cannulation Navigation",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:21:23Z",
  "url": "https://research.draconitic.com/paper/60b7mtqwg3j3q",
  "venue": "JACC Case Reports",
  "versions": []
}