Improving the performance of door-to-needle times for the emergent treatment of acute Ischemic stroke
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Abstract
"Problem Statement: In the first two quarters of 2022, the rate of excessive delays in administration of intravenous thrombolysis for acute ischemic stroke in the emergency department at the University of Missouri Hospital increased to 30%, higher than in the two previous calendar years. Aim Statement: To improve the proportion of stroke patients treated with an IV thrombolytic beyond the 60- minute window from 30% to less than 25% within 10 months. Scope: This project will focus the care of patients that arrive within the Emergency Department for the care of suspected stroke like symptoms. The process begins with patient's arrival and ends with the administration of IV-tPA. Timeline: Baseline data was collected from the calendar year 2022 through March of 2023. Interventions occurred on April 4th, 2023 and formal remeasurement occurred in June 2023."--Introduction.