Reducing Time Taken to Start Endovascular Thrombectomy for Acute Stroke Patients
Care Process & Redesign
Singapore Healthcare Management Congress
SingHealth
31 December 2023
To reduce the time taken to start EVT for acute stroke patients presenting at SGH ED from 130 minutes to 80 minutes. Process improvements enhanced timeliness and coordination, critical for acute stroke care.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Process ＆ Redesign, Quality Improvement, Lean Methodology
About this Content
Aims
To reduce the time taken to start EVT for acute stroke patients presenting at SGH ED from 130 minutes to 80 minutes.
Background
Delays in EVT initiation negatively impact patient outcomes and increase healthcare costs.
Methods
Lean methodology applied across departments, piloting workflow improvements in five PDSA cycles.
Results
Reduced median door-to-puncture time by 37%, achieving 82 minutes; sustained improvements evident in audit results.
Conclusion
Process improvements enhanced timeliness and coordination, critical for acute stroke care.
Lessons Learnt
Collaborative, multidisciplinary approaches effectively reduce critical process times and improve patient outcomes.
Additional Information
Singapore Healthcare Management Congress 2023 – Merit Prize (Operations category)
Keywords
Endovascular Thrombectomy, Stroke Workflow
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Singapore General Hospital |
Platform(s) | Singapore Healthcare Management Congress |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Neurology |
Project Lead(s) | Leong Man Qing |
Project Member(s) | Liu Zhenghong |
Connect with this contributor!
Leong Man Qing - singaporehealthcaremanagement@singhealth.com.sg