Chhabra S, Eagles D, Kwok ESH, et al. - Via performing a systematic review, researchers sought to determine the emergency department interventions that assist in improving door-to-electrocardiogram (ECG) times for adults presenting with symptoms indicative of acute coronary syndrome. Searching Medline, Embase, CINAHL, and Cochrane CENTRAL from inception to April 2018, 809 unique articles, yielding 11 before-after quality improvement studies that met eligibility criteria (N = 15,622 patients) were identified by two reviewers. Multiple interventions were identified that exhibited potential for reducing emergency department door-to-ECG times. Having a dedicated ECG technician, triage education, and better triage disposition were included in effective bundled interventions. Institutions may attain best practice guidelines with the help of these changes. They recommend first understanding the local context before adopting any single or group of interventions in emergency departments.