Lean process methods expedite care in ischemic stroke

Lean process methods expedite care in ischemic stroke
Use of lean process improvement methodology can reduce the time to stroke care without compromising patient safety, according to a study published online Nov. 8 in Stroke.

(HealthDay)—Use of lean process improvement methodology can reduce the time to stroke care without compromising patient safety, according to a study published online Nov. 8 in Stroke.

Andria L. Ford, M.D., from the Washington University School of Medicine in St. Louis, and colleagues used lean process improvement methodology to develop a streamlined intravenous (tPA) protocol. Value stream analysis (VSA) was used to analyze the steps required to treat patients with tPA for . Characteristics, protocol metrics, and before and after VSA were compared.

The researchers identified several tPA protocol inefficiencies with VSA, including routing of patients to room, computed tomography (CT), and back to room; serial processing of workflow; and delays in waiting for test results. A new protocol designed to minimize delays was implemented on March 1, 2011, and included direct routing to head CT before going to the ; parallel process workflow; and point-of-care laboratories. In the periods before and after VSA, 132 and 87 patients, respectively, were treated with tPA. In the post-VSA period, compared with the pre-VSA period, door-to-needle times were significantly reduced (39 versus 60 minutes) and the percentage of patients treated within 60 minutes from hospital arrival increased significantly (78 versus 52 percent), with no alteration in the rate of symptomatic hemorrhage.

"Lean manufacturing principles were applied to expedite intravenous tPA delivery with dramatic reduction in door-to-needle times and without compromising patient safety," the authors write. "Future studies may determine if this intervention is sustainable across various hospital settings."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Stroke patients benefit from carmaker's efficiency

Oct 18, 2012

A process developed to increase efficiency and productivity in Japanese car factories has helped improve stroke treatment at Barnes-Jewish Hospital, report researchers at Washington University School of Medicine ...

Recommended for you

Towards renal artery stenosis treatment

2 hours ago

Renal artery stenting to open blockages in the kidney arteries may benefit patients who have historically been excluded from modern clinical trials, according to new recommendations for renal artery stenosis e-published in ...

New technologies help people with heart disease

7 hours ago

People taking part in cardiac rehabilitation exercise programmes are likely to maintain healthy behaviours for longer with text message and web-based support, according to recent research from the University of Auckland.

A novel pathway for prevention of heart attack and stroke

Aug 21, 2014

A recent Finnish study could pave the way for preventing brain and cardiac ischemia induced by atherosclerosis. Finnish researchers have found that the low-expression variant of fatty acid-binding protein 4 (FABP4), which ...

User comments