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SBH implemented a Pulmonary Embolism Response Team (PERT) as a multidisciplinary, collaborative model to optimize PE care. Since October 2024, SBH reported a 100% reduction in mortality for Intermediate High-Risk to High-Risk PE. Anticoagulation delivery also improved, with a median time of 38 minutes, supporting both survival gains and faster treatment efficiency.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/reducing-mortality-in-pe-patients-through-the-use-of-a-pulmonary-embolism-response-team-pert-at-sbh/508624/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/reducing-mortality-in-pe-patients-through-the-use-of-a-pulmonary-embolism-response-team-pert-at-sbh/508624.png","ImageObject",300,407,{"name":92,"@type":93},"Melati","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-10","2026-10-05",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What problem does the document address for pulmonary embolism (PE) patients?","Question",{"text":113,"@type":114},"It addresses the persistent challenge of PE management, emphasizing that early diagnosis and prompt treatment are crucial to improving patient outcomes.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What is the SBH Pulmonary Embolism Response Team (PERT) and when was it implemented?",{"text":118,"@type":114},"SBH launched PERT as a multidisciplinary approach to optimize PE care, with implementation starting in October 2024.",{"name":120,"@type":111,"acceptedAnswer":121},"What outcomes were reported after implementing PERT?",{"text":122,"@type":114},"Mortality decreased to 0% for Intermediate High-Risk to High-Risk PE, and anticoagulation administration improved to a median time of 38 minutes.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},508624,1791688809,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":81,"preview_page_count":4},962085570644,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Reducing Mortality in PE Patients Through the Use of a Pulmonary Embolism Response Team (PERT) at SBH  \nDepartment of Internal Medicine, Division of Cardiology, Critical Care, and Quality Management  \nIgor Brodskiy, MD Cardiology Fellow; Daniel Yow, MD PGY3; Carly Bowser, DO Cardiology Fellow, Gabriel Esses, DO Advanced Heart Failure Fellow; Padmanabhan Krishnan, MD; Sudhanva Hegde, MD;  \nHarman S. Gill, MD; Aleksandre Toreli MD; Tanveer Mir, MD; Dominick Calandro, MPA  \nAbstract  \nPulmonary embolism (PE) remains a challenge despite medical advancements, with early diagnosis and prompt treatment critical to improving patient outcomes. In response, SBH launched the Pulmonary Embolism Response Team (PERT), a collaborative, multidisciplinary approach designed to optimize PE care.  \n• Since its implementation in October 2024, SBH has achieved a 100% reduction in mortality among patients with Intermediate High-Risk to High-Risk PE.  \n• Additionally, anticoagulation administration for these patients has significantly improved, with a median time of just 38 minutes.  \nThis data underscores the effectiveness of PERT in enhancing both survival rates and treatment efficiency.  \nIntroduction  \n• Each year, an estimated 300,000 to 600,000 individuals in the U.S. experience pulmonary embolism (PE), resulting in 60,000 to 100,000 deaths, with 5-10% occurring during hospitalization 2 .  \n• Effective PE management requires rapid anticoagulation, minimized diagnostic delays, timely escalation of care, and improved patient outcomes in terms of both mortality and morbidity 4 .  \n• Although existing algorithms guide PE treatment, the novel Pulmonary Embolism Response Team (PERT) represents a significant step forward.  \n• PERT is specifically designed to enhance the care of patients with Intermediate High-Risk to High-Risk PE by optimizing multidisciplinary collaboration and streamlining treatment protocols 6 .  \n• This approach aims to reduce mortality and improve overall clinical outcomes by addressing the complexities of PE management in real time.  \nMethods  \n• With support from our IT Department and approval from Central Office, the first-ever PERT consult order was successfully integrated into EPIC in late October 2024.  \n• This implementation allowed for a retrospective cohort chart review of all PERT consults since its launch, providing valuable data for continuous improvement.  \n• Our quality improvement initiative at SBH focuses on evaluating and enhancing pulmonary embolism management protocols through evidence-based strategies.  \n• Key objectives include early identification of high-risk PE, prompt activation of the PERT Consult Service, and coordinated, evidence-driven care for high-risk PE patients.  \nHours  \n10  \n9 8  \n7 6  \n5 4  \n3 2  \n1 0  \nMedian CTA Order to CTA PE Read (Hours)  \n9  \n7  \nPERT  \n6  \n 4  \n4  \n3   \n2  \n2  \nFig 1: Median time from CTA order to CTA PE read in hours  \nPERT  \nFig 2: Mortality rate for patients presenting to SBH with Intermediate-High to High Risk PE  \n% AC Given  \n80%  \n70%  \n60%  \n50%  \n40%  \n30%  \n20%  \n10%  \n0%  \n71%  \n61%  \n39%  \n29%  \nBefore CTA Read  \n Before PERT  \nAfter CTA Read  \n After PERT  \nFig 3: Percentage of Anticoagulation Given before and after CTA Read Pre and Post PERT Initiation  \nResults  \n• The peak mortality rate of 20%(Q4, 2023) has drastically reduced to a mortality rate of 0% . The data indicates a remarkable greater than 75% reduction in the mortality rate for patients identified as Intermediate HighRisk to High-Risk PE since the end of 2023 at SBH.  \n• This improvement has been consistent, with mortality rates remaining below the median since the initiation of the PERT consult.  \nDiscussion/Conclusion  \n• At South Brooklyn Health, our newly established Pulmonary Embolism Response Team (PERT) aims to deliver unified clinical decision-making—particularly in areas where existing guidelines are limited or evidence is lacking.  \n• One of our primary goals is to investigate factor","cbCaiogB3VEk9Zzu","https://ap.wps.com/l/cbCaiogB3VEk9Zzu","pdf",340618,"English","# Abstract\n# Introduction\n# Methods\n# Results\n# Discussion/Conclusion\n# References","[{\"question\":\"What problem does the document address for pulmonary embolism (PE) patients?\",\"answer\":\"It addresses the persistent challenge of PE management, emphasizing that early diagnosis and prompt treatment are crucial to improving patient outcomes.\"},{\"question\":\"What is the SBH Pulmonary Embolism Response Team (PERT) and when was it implemented?\",\"answer\":\"SBH launched PERT as a multidisciplinary approach to optimize PE care, with implementation starting in October 2024.\"},{\"question\":\"What outcomes were reported after implementing PERT?\",\"answer\":\"Mortality decreased to 0% for Intermediate High-Risk to High-Risk PE, and anticoagulation administration improved to a median time of 38 minutes.\"}]","Reducing Mortality in PE Patients Through the Use of a Pulmonary Embolism Response Team (PERT) at SBH | PDF",1791230101]