Projects

Reducing Door-to-Puncture Time for Endovascular Thrombectomy in Stroke

Project Categories

Care Process & Redesign

Platform

National Healthcare Innovation and Productivity Medals

Cluster

SingHealth

31 December 2024

To reduce door-to-puncture time for EVT from 130 minutes to 80 minutes. Achieved significant reductions in treatment time, demonstrating scalable solutions for stroke care.

Year Submitted: 2024
Published Date: 31 December 2024

Tags: Care Process ＆ Redesign, Access To Care, Waiting Time, Turnaround Time, Referral Rate, Value Based Care, Patient Reported Outcome Measures, Quality Improvement, Clinical Practice Improvement

About this Content

Aims

To reduce door-to-puncture time for EVT from 130 minutes to 80 minutes.

Background

Delays in EVT impact outcomes for stroke patients, leading to higher costs and reduced recovery chances.

Methods

Mapped workflows using Gemba walks, time-motion studies, and staff interviews; piloted interventions across departments.

Results

Reduced door-to-puncture time by 37% to 82 minutes; CGH transfer times also decreased by 42%.

Conclusion

Achieved significant reductions in treatment time, demonstrating scalable solutions for stroke care.

Lessons Learnt

Protocol standardization and iterative refinements accelerate improvements while managing variability.

Additional Information

National Healthcare Innovation & Productivity (NHIP) 2024 – Best Practice (Care Redesign category).

Keywords

EVT, Door-to-Puncture, Stroke

Innovators' Details

Healthcare Cluster(s)	SingHealth
Organization(s) Involved	Singapore General Hospital
Platform(s)	National Healthcare Innovation and Productivity Medals
Healthcare Professional Group(s)	Allied Health, Healthcare Administration, Medical, Nursing
Applicable Specialty or Discipline	Diagnostic Radiography, Neurology, Emergency Medicine, Anaesthesiology, Radiology
Project Lead(s)	Yeo Su Qian
Project Member(s)	Leong Man Qing Yeo Su Qian Liu Zhenghong Chew Jing Si Tan Il Fan Nijanth Manohararaj Tan Zhibin Sumit Kumar Sonu Rahalkar Kshitij Lim Kai Xuan Kenneth Mavis Teo Miqi Rachel Leong Wei Li Wong Chen Pong David Wen Wei Vithiya Raman Terence Wong Wang Hong Fiona Tay Mei Imm Michael Maximo Ladera Tan Xiong Wei Pang Yee Hau(Co-Leader) Chia Ghim Song

Connect with this contributor!

Ms Yeo Su Qian - yeo.su.qian@sgh.com.sg

Project Attachment

C_918_SGH_NHIP_2024_Reducing_Door_to_Puncture_Time_for_Endovascular_Thrombectomy_in_Stroke.pdf