作者
Ilana M Ruff, Ava L Liberman, Fan Z Caprio, Matthew B Maas, Scott J Mendelson, Farzaneh A Sorond, Deborah Bergman, Richard A Bernstein, Yvonne Curran, Shyam Prabhakaran
发表日期
2017/6
来源
Neurology: Clinical Practice
卷号
7
期号
3
页码范围
237-245
出版商
Lippincott Williams & Wilkins
简介
Background
We sought to determine if a structured educational program for neurology residents can lower door-to-needle (DTN) times at an academic institution.
Methods
A neurology resident educational stroke boot camp was developed and implemented in April 2013. Using a prospective database of 170 consecutive acute ischemic stroke (AIS) patients treated with IV tissue plasminogen activator (tPA) in our emergency department (ED), we evaluated the effect of the intervention on DTN times. We compared DTN times and other process measures preintervention and postintervention. p Values < 0.05 were considered significant.
Results
The proportion of AIS patients treated with tPA within 60 minutes of arrival to our ED tripled from 18.1% preintervention to 61.2% postintervention (p < 0.001) with concomitant reduction in DTN time (median 79 minutes vs 58 minutes, p < 0.001). The resident-delegated task (stroke …
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IM Ruff, AL Liberman, FZ Caprio, MB Maas… - Neurology: Clinical Practice, 2017