Reducing Door-To-Needle Time In Acute Ischaemic Stroke
Care Process & Redesign
Singapore Healthcare Management Congress
National University Health System
31 December 2019
Reduce Door-to-Needle (DTN) time for intravenous recombinant Tissue Plasminogen Activator (rTPA) in acute ischaemic stroke. Protocol successfully reduced DTN time, enabling timely treatment and better patient outcomes in acute stroke management.
Year Submitted: 2019
Published Date: 31 December 2019
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Clinical Practice Improvement, Access To Care, Waiting Time, Productivity, Time Saving
About this Content
Aims
Reduce Door-to-Needle (DTN) time for intravenous recombinant Tissue Plasminogen Activator (rTPA) in acute ischaemic stroke.
Background
Delays in evaluation and treatment lead to suboptimal outcomes in stroke patients eligible for thrombolysis within 4.5 hours.
Methods
Developed an inter-departmental stroke protocol involving direct transport to CT, on-site preparation of rTPA, and streamlined patient evaluation.
Results
Reduced median DTN time from 63 minutes to 51 minutes (p=0.013); increased percentage of patients receiving rTPA within 60 minutes from 49% to 66%.
Conclusion
Protocol successfully reduced DTN time, enabling timely treatment and better patient outcomes in acute stroke management.
Lessons Learnt
Streamlined workflows and inter-departmental collaboration are critical for improving acute stroke care outcomes.
Keywords
Acute Ischaemic Stroke, Door-to-Needle Time, Thrombolysis, Emergency Care, Inter-Departmental Protocol
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Hospital |
Platform(s) | Singapore Healthcare Management Congress |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Neurology, Emergency Medicine |
Project Lead(s) | Leonard Yeo |
Project Member(s) | Mathew Yeo |
Connect with this contributor!
Leonard Yeo - leonard_ll_yeo@nuhs.edu.sg
Project Attachment
24_NUH_Reducing_Door_To_Needle_Time_In_Acute_Ischaemic_Stroke_combine.pdf