Lean process methods expedite care in ischemic stroke

November 10, 2012
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."

Explore further: Hospital uses 'lean' manufacturing techniques to speed stroke care

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

Related Stories

Hospital uses 'lean' manufacturing techniques to speed stroke care

October 18, 2012
A hospital stroke team used auto industry "lean" manufacturing principles to accelerate treatment times, according to new research in the American Heart Association's journal Stroke.

Stroke patients benefit from carmaker's efficiency

October 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 in St. Louis.

Clot-busting drug safe for stroke patients taking blood thinner

May 10, 2012
Acute ischemic stroke patients taking the blood thinner warfarin can be treated safely with the clot-busting drug tissue plasminogen activator (tPA), according to research presented at the American Heart Association's Quality ...

Clot-busting medicine safe for use in warfarin-treated patients following stroke

June 26, 2012
The clot-busting medicine, tPA (tissue plasminogen activator), is safe to use in acute stroke patients already on the home blood thinner warfarin, according to researchers from Duke Clinical Research Institute (DCRI). This ...

Despite benefit, hospitals not always alerted of incoming stroke patients

July 10, 2012
Treatment is delivered faster when emergency medical services (EMS) personnel notify hospitals a possible stroke patient is en route, yet pre-notification doesn't occur nearly one-third of the time. That's according to two ...

Recommended for you

A nanoparticle inhalant for treating heart disease

January 18, 2018
A team of researchers from Italy and Germany has developed a nanoparticle inhalant for treating people suffering from heart disease. In their paper published in the journal Science Translational Medicine, the group describes ...

Starting periods before age of 12 linked to heightened risk of heart disease and stroke

January 15, 2018
Starting periods early—before the age of 12—is linked to a heightened risk of heart disease and stroke in later life, suggests an analysis of data from the UK Biobank study, published online in the journal Heart.

'Decorated' stem cells could offer targeted heart repair

January 10, 2018
Although cardiac stem cell therapy is a promising treatment for heart attack patients, directing the cells to the site of an injury - and getting them to stay there - remains challenging. In a new pilot study using an animal ...

Two simple tests could help to pinpoint cause of stroke

January 10, 2018
Detecting the cause of the deadliest form of stroke could be improved by a simple blood test added alongside a routine brain scan, research suggests.

Exercise is good for the heart, high blood pressure is bad—researchers find out why

January 10, 2018
When the heart is put under stress during exercise, it is considered healthy. Yet stress due to high blood pressure is bad for the heart. Why? And is this always the case? Researchers of the German Centre for Cardiovascular ...

Heart-muscle patches made with human cells improve heart attack recovery

January 10, 2018
Large, human cardiac-muscle patches created in the lab have been tested, for the first time, on large animals in a heart attack model. This clinically relevant approach showed that the patches significantly improved recovery ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.