目的：多項研究證實介入性心導管治療可降低心肌梗塞病人的死亡率、心肌再梗塞及腦中 風的比例，臨床單位發現急性ST段上升型心肌梗塞病人的轉院時間過長而延誤黃金治療時 間，引發專案改善動機，以縮短急性心肌梗塞病人轉院時間。方法：解決方案：（1)安排教育 訓練；（2)改變急診就醫流程，有胸痛主訴先行EKG檢查，再行檢傷；（3)製定HIS系統急性心 肌梗塞檢驗與治療群組化；（4)發展心肌梗塞專用護理紀錄單；（5)與合作醫院制定快速轉院流 程。結果：經專案改善後，急性心肌梗塞病人轉院時間由106.7分鐘縮短至28分鐘。結論： 透過跨領域團隊合作、互相溝通及學習，提升同仁間的團結心及責任感，亦全面提昇急診醫療 服務之效率，期望藉此專案分享應用跨院區間的合作模式，可供管理者於未來溝通或協商方案 時之參考。

xObjective: Acute myocardial infarction (AMI) patients must grasp prime time to primary percutaneous coronary intervention. The investigation of the prolonged staying time in the emergency department ware for a long time. This motivates us to design a project to reduce interhospital transfer time. Method: The method was including education and training awareness, changes treatment process, the development of HIS system exam and treatment grouping; to use special nursing record and to rapid referral hospital processes. Results: After implementing the protocol, the time of transferred was from 106.7 minutes to 28 minutes. Through interdisciplinary learning enhance solidarity and responsibility of colleagues. Conclusion: This protocol can be a campus-wide model to share interdisciplinary cooperation and enhance the efficiency of emergency medical services.