지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 328 - 333 (6page)
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초록· 키워드
오류제보하기
Background and Purpose Process improvement (PI) is an approach for enhancing the existingquality improvement process by making changes while keeping the existing process. We haveshown that implementation of a stroke code program using a computerized physician order entrysystem is effective in reducing the in-hospital time delay to thrombolysis in acute stroke patients.
We investigated whether implementation of this PI could further reduce the time delays by continuous improvement of the existing process.
Methods After determining a key indicator [time interval from emergency department (ED) arrival to intravenous (IV) thrombolysis] and conducting data analysis, the target time from ED arrival to IV thrombolysis in acute stroke patients was set at 40 min. The key indicator was monitored continuously at a weekly stroke conference. The possible reasons for the delay were determinedin cases for which IV thrombolysis was not administered within the target time and, where possible, the problems were corrected. The time intervals from ED arrival to the various evaluation stepsand treatment before and after implementation of the PI were compared.
Results The median time interval from ED arrival to IV thrombolysis in acute stroke patientswas significantly reduced after implementation of the PI (from 63.5 to 45 min, p=0.001). The variation in the time interval was also reduced. A reduction in the evaluation time intervals wasachieved after the PI [from 23 to 17 min for computed tomography scanning (p=0.003) and from35 to 29 min for complete blood counts (p=0.006)].
Conclusion zPI is effective for continuous improvement of the existing process by reducing thetime delays between ED arrival and IV thrombolysis in acute stroke patients.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
California Acute Stroke Pilot Registry (CASPR) Investigators / 2005 / Prioritizing interventions to improve rates of thrombolysis for ischemic stroke / Neurology 64 : 654 ~ 6
Eissa A / 2012 / Barriers to the utilization of thrombolysis for acute ischaemic stroke / J Clin Pharm Ther 37 : 399 ~ 409
Ferrari J / 2010 / Stroke thrombolysis: having more time translates into delayed therapy: data from the Austrian Stroke Unit Registry / Stroke 41 : 2001 ~ 2004
Fonarow GC / 2011 / Timeliness of tissue-type plasminogen activator therapy in acute ischemic stroke: patient characteristics, hospital factors, and outcomes associated with
Garcia-Monco JC / 2007 / Analysis of the reasons for exclusion from tPA therapy after early arrival in acute stroke patients / Clin Neurol Neurosurg 109 : 50 ~ 53
Eissa A / 2012 / Barriers to the utilization of thrombolysis for acute ischaemic stroke / J Clin Pharm Ther 37 : 399 ~ 409
Ferrari J / 2010 / Stroke thrombolysis: having more time translates into delayed therapy: data from the Austrian Stroke Unit Registry / Stroke 41 : 2001 ~ 2004
Fonarow GC / 2011 / Timeliness of tissue-type plasminogen activator therapy in acute ischemic stroke: patient characteristics, hospital factors, and outcomes associated with
Garcia-Monco JC / 2007 / Analysis of the reasons for exclusion from tPA therapy after early arrival in acute stroke patients / Clin Neurol Neurosurg 109 : 50 ~ 53
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