Implementation of stroke teams and simulation training shortened process times in a regional stroke network—A network-wide prospective trial

Damla Tahtali, Ferdinand Bohmann, Natalia Kurka, Peter Rostek, Anelia Todorova-Rudolph, Martin Buchkremer, Mario Abruscato, Ann-Kathrin Hartmetz, Andrea Kuhlmann, Christian Henke, André Stegemann, Sanjay Menon, Björn Misselwitz, Anke Reihs, Stefan Weidauer, Sven Thonke, Uta Meyding-Lamadé, Oliver Singer, Helmuth Steinmetz and Waltraud Pfeilschifter

PLOS ONE, 2017, vol. 12, issue 12, 1-13

Abstract: Background: To meet the requirements imposed by the time-dependency of acute stroke therapies, it is necessary 1) to initiate structural and cultural changes in the breadth of stroke-ready hospitals and 2) to find new ways to train the personnel treating patients with acute stroke. We aimed to implement and validate a composite intervention of a stroke team algorithm and simulation-based stroke team training as an effective quality initiative in our regional interdisciplinary neurovascular network consisting of 7 stroke units. Methods: We recorded door-to-needle times of all consecutive stroke patients receiving thrombolysis at seven stroke units for 3 months before and after a 2 month intervention which included setting up a team-based stroke workflow at each stroke unit, a train-the-trainer seminar for stroke team simulation training and a stroke team simulation training session at each hospital as well as a recommendation to take up regular stroke team trainings. Results: The intervention reduced the network-wide median door-to-needle time by 12 minutes from 43,0 (IQR 29,8–60,0, n = 122) to 31,0 (IQR 24,0–42,0, n = 112) minutes (p

Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0188231

DOI: 10.1371/journal.pone.0188231

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