Time is Brain
Care Process & Redesign
Singapore Healthcare Management Congress
National University Health System
31 December 2018
Reduce delays in delivering anesthesia for endovascular thrombectomy (EVT) in acute ischemic stroke cases. The project improved stroke outcomes significantly by prioritizing rapid preparedness for EVT.
Year Submitted: 2018
Published Date: 31 December 2018
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Clinical Practice Improvement, Access To Care, Waiting Time, Productivity, Cost Saving
About this Content
Aims
Reduce delays in delivering anesthesia for endovascular thrombectomy (EVT) in acute ischemic stroke cases.
Background
Delays in anesthesia preparation for EVT increased the time to reperfusion, affecting neurological outcomes and increasing healthcare costs.
Methods
Conducted stakeholder analysis; used Pareto Charting to identify bottlenecks; streamlined workflow by preparing the anesthesia machine, drug trolley, and patient lines in advance.
Results
Reduced preparation time from 30 minutes to near-instant readiness; improved patient outcomes and satisfaction with faster clot retrieval.
Conclusion
The project improved stroke outcomes significantly by prioritizing rapid preparedness for EVT.
Lessons Learnt
Readiness of equipment and personnel is critical to reducing time-sensitive delays in stroke management.
Keywords
Stroke Care, EVT, Process Redesign, Time Optimization, Neurology
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, Anaesthesiology |
Project Lead(s) | Deborah Khoo |
Project Member(s) | Prakash Rameshchandra Paliwal |
Connect with this contributor!
Dr. Deborah Khoo - deborah_khoo@nuhs.edu.sg