Abstract T MP101: Development and Introduction of a Performance Improvement Tool to Enhance Door-To-CT-Times for the Acute Stroke Patient
Purpose/Background: The purpose of this abstract is to demonstrate rapid change improvement in SCORE quality measures specifically, Door-to-CT-times, for patients presenting to the Emergency Department with signs and symptoms of stroke.This change was implemented subsequent to review of data which revealed less than optimal Door-to-CT-times sustained over the course of several quarters.
1. To visually demonstrate the algorithm developed to model the care pathway of the acute stroke patient from Registration to initiation of the CT radiographic exam.
2. To exhibit an educational pathway that resulted in rapid change and improvement of Door-to-CT-times as well as an unintentional favorable trend for the CT-to-Result measure.
3. To compare Door-to-CT-times pre- and post-implementation of multidisciplinary education on the stroke pathway and goal of Door-to-CT in less than 20 minutes.
Results: Prior to implementation of education utilizing the stroke pathway algorithm, results were consistently inconsistent ranging from 22% compliance to 63% compliance month over month. In January 2014 we had a 47% success rate and February 33% success rate for door to CT within 20 minutes. The educational program was implemented in February of 2014. Clearly, the visual depiction of patient flow thru the ED to CT greatly enhanced the educational process. We exceeded our goal of attaining 50% compliance and stretch goal of 70% compliance to 89% compliance in Door-to-CT times in the first month (March 2014) following implementation of the process improvement initiative. Data reveals sustained improvements through Q2 as follows: April 90%, May 68%, and June 73%. Due to the significant improvement in our Door-to-CT compliance, we also noted a comparably significant enhancement in our Door-To-Results times.
Conclusions/Implications for Practice: By developing an ongoing educational process with demonstrable improvements in care for the acute stroke patient, Emergency Department staff appreciated improved outcomes for this particular patient population. This is a single institution study, results may not be applicable to other institutions.
Author Disclosures: D.B. Benvenuto: None. J. DeFronzo: None.
- © 2015 by American Heart Association, Inc.