Abstract
Background and Problem
Stroke is a critical time-dependent treatment with the loss of 2 MIO brain cells each minute due to a blood clot obstructing blood supply to the brain.
Several factors are of importance in time critical stroke care. We saw a need for an optimized patient flow -the time from a patient’s admission to the start of revascularisationtherapy (door to needle time).
The aim was to reduce door-to-needle time.
Lesseons Learned:
Plan the changewith expertsfrom the Simulation Unit.
Educate internal simulations facilitators
Involve the staff before changing the workflow
Effects of change:
Effects of change was measured as reduction of door-to-needle time. The reduction changed from 30 min (25% and 75% quartiles: 23-38 min); to 22 min (25% and 75% quartiles: 16-33 min).
Conclusion
Implementation of a new work flow with simulation based training improved hyperacute handling of stroke patients.
The door to needle time was reduced with a median of 8 minuts
Monthly simulation sessions is now a standard scheduled training at the ward for both physicians and nurses.
Stroke is a critical time-dependent treatment with the loss of 2 MIO brain cells each minute due to a blood clot obstructing blood supply to the brain.
Several factors are of importance in time critical stroke care. We saw a need for an optimized patient flow -the time from a patient’s admission to the start of revascularisationtherapy (door to needle time).
The aim was to reduce door-to-needle time.
Lesseons Learned:
Plan the changewith expertsfrom the Simulation Unit.
Educate internal simulations facilitators
Involve the staff before changing the workflow
Effects of change:
Effects of change was measured as reduction of door-to-needle time. The reduction changed from 30 min (25% and 75% quartiles: 23-38 min); to 22 min (25% and 75% quartiles: 16-33 min).
Conclusion
Implementation of a new work flow with simulation based training improved hyperacute handling of stroke patients.
The door to needle time was reduced with a median of 8 minuts
Monthly simulation sessions is now a standard scheduled training at the ward for both physicians and nurses.
| Originalsprog | Engelsk |
|---|---|
| Status | Udgivet - 13 maj 2023 |
| Begivenhed | The International Forum on Quality and Safety in Healthcare - Bella Center, Copenhagen, Danmark Varighed: 15 maj 2023 → 17 maj 2023 https://internationalforum.bmj.com/copenhagen/ |
Konference
| Konference | The International Forum on Quality and Safety in Healthcare |
|---|---|
| Land/Område | Danmark |
| By | Copenhagen |
| Periode | 15/05/23 → 17/05/23 |
| Internetadresse |