Create Account | Sign In: Author or Forum

 
 
News  |  Journals  |  Conferences  |  Blogs  |  Articles  |  Forums  |  Twitter    
 
Category: Cardiology | Family Medicine | Internal Medicine | Emergency Medicine | Neurology | Nursing | Radiology | Journal

Back to Journal Articles

Lean Process Methods Expedite Care in Ischemic Stroke

Last Updated: November 09, 2012.

 

Reduces door-to-needle time for tPA delivery without affecting symptomatic hemorrhage rate

Share |

Comments: (0)

Tell-a-Friend

 

  Related
 
Use of lean process improvement methodology can reduce the time to stroke care without compromising patient safety, according to a study published online Nov. 8 in Stroke.

FRIDAY, Nov. 9 (HealthDay News) -- Use of lean process improvement methodology can reduce the time to stroke care without compromising patient safety, according to a study published online Nov. 8 in Stroke.

Andria L. Ford, M.D., from the Washington University School of Medicine in St. Louis, and colleagues used lean process improvement methodology to develop a streamlined intravenous tissue plasminogen activator (tPA) protocol. Value stream analysis (VSA) was used to analyze the steps required to treat patients with tPA for acute ischemic stroke. Characteristics, protocol metrics, and clinical outcomes before and after VSA were compared.

The researchers identified several tPA protocol inefficiencies with VSA, including routing of patients to room, computed tomography (CT), and back to room; serial processing of workflow; and delays in waiting for test results. A new protocol designed to minimize delays was implemented on March 1, 2011, and included direct routing to head CT before going to the patient room; parallel process workflow; and point-of-care laboratories. In the periods before and after VSA, 132 and 87 patients, respectively, were treated with tPA. In the post-VSA period, compared with the pre-VSA period, door-to-needle times were significantly reduced (39 versus 60 minutes) and the percentage of patients treated within 60 minutes from hospital arrival increased significantly (78 versus 52 percent), with no alteration in the rate of symptomatic hemorrhage.

"Lean manufacturing principles were applied to expedite intravenous tPA delivery with dramatic reduction in door-to-needle times and without compromising patient safety," the authors write. "Future studies may determine if this intervention is sustainable across various hospital settings."

Abstract
Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.


Previous: Black Tea Intake Tied to Low Diabetes Prevalence Worldwide Next: Higher Pulse Wave Velocity Seen in Well-Controlled Diabetes

Reader comments on this article are listed below. Review our comments policy.


Submit your opinion:

Name:

Email:

Location:

URL:

Remember my personal information

Notify me of follow-up comments?

advertisement.gif (61x7 -- 0 bytes)
 

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

 
     
net

 advertisement.gif (61x7 -- 0 bytes)

 

 

Useful Sites
MediLexicon
  Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us
Copyright © 2001-2014
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Advertising
Links | Humor
Forum Archive
CME | Conferences

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.