Implementation of an institution-wide acute stroke algorithm: Improving stroke quality metrics.
Surg Neurol Int
; 7(Suppl 41): S1041-S1048, 2016.
Article
em En
| MEDLINE
| ID: mdl-28144480
ABSTRACT
BACKGROUND:
In May 2012, an updated stroke algorithm was implemented at Vanderbilt University Medical Center. The current study objectives were to (1) describe the process of implementing a new stroke algorithm and (2) compare pre- and post-algorithm quality improvement (QI) metrics, specificaly door to computed tomography time (DTCT), door to neurology time (DTN), and door to tPA administration time (DTT).METHODS:
Our institutional stroke algorithm underwent extensive revision, with a focus on removing variability, streamlining care, and improving time delays. The updated stroke algorithm was implemented in May 2012. Three primary stroke QI metrics were evaluated over four separate 3-month time points, one pre- and three post-algorithm periods.RESULTS:
The following data points improved after algorithm implementation average DTCT decreased from 39.9 to 12.8 min (P < 0.001); average DTN decreased from 34.1 to 8.2 min (P ≤ 0.001), and average DTT decreased from 62.5 to 43.5 min (P = 0.17).CONCLUSION:
A new stroke protocol that prioritized neurointervention at our institution resulted in significant lowering in the DTCT and DTN, with a nonsignificant improvement in DTT.
Texto completo:
1
Base de dados:
MEDLINE
Tipo de estudo:
Prognostic_studies
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article