Provincial Door-to-Needle Improvement Initiative Results in Improved Patient Outcomes Across an Entire Population
نویسندگان
چکیده
منابع مشابه
CODE FAST: a quality improvement initiative to reduce door-to-needle times.
BACKGROUND Rapid delivery of IV tissue plasminogen activator (tPA) in qualifying patients leads to better clinical outcomes. The American Heart Association has reduced target door-to-needle (DTN) times from 60 to 45 min in the hopes of continued process improvements across institutions. OBJECTIVE To start a quality improvement project called CODE FAST in order to reduce DTN times at our insti...
متن کاملDoor-to-needle times for tissue plasminogen activator administration and clinical outcomes in acute ischemic stroke before and after a quality improvement initiative.
IMPORTANCE The benefits of intravenous tissue plasminogen activator (tPA) in patients with acute ischemic stroke (AIS) are time dependent and guidelines recommend a door-to-needle (DTN) time of 60 minutes or less. However, studies have found that less than 30% of US patients are treated within this time window. TARGET Stroke was designed as a national quality improvement initiative to improve...
متن کاملNo needle to fear: An approach to needle phobic patients
18F-FDG is the most commonly used radioisotope in PET scanning and is administered intravenously. When patients cannot cannulated, there are limited options available for functional tumour assessment. A fifty year old male presented for investigation of a suspected lung carcinoma identified during investigation of pneumonia. The patient had a severe needle phobia, intellectual dis...
متن کاملReduction in door-to-needle time to meet clinical guideline recommendations. Outcomes after 1 year.
The aim of this study was to reduce the door-to-needle time in patients with ST-elevation acute myocardial infarction by setting up a chest pain service. We compared the door-to-needle time and outcomes at the end of first year of follow-up in patients who received fibrinolysis in the 2 years before implementation of the service (Group 1) and those who received fibrinolysis in the 2 years after...
متن کاملThe dissociation between door-to-balloon time improvement and improvements in other acute myocardial infarction care processes and patient outcomes.
BACKGROUND Recent initiatives have focused on reducing door-to-balloon (DTB) times among patients with acute myocardial infarction undergoing primary percutaneous coronary intervention. However, DTB time is only one of several important AMI care processes. It is unclear whether quality efforts targeted to a single process will facilitate concomitant improvement in other quality measures and out...
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ژورنال
عنوان ژورنال: Stroke
سال: 2020
ISSN: 0039-2499,1524-4628
DOI: 10.1161/strokeaha.120.029734