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In‐hospital acute stroke workflow in acute stroke – Systems‐based approaches
Author(s) -
Santana Baskar Prithvi,
Cordato Dennis,
Wardman Daniel,
Bhaskar Sonu
Publication year - 2021
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/ane.13343
Subject(s) - workflow , medicine , acute stroke , psychological intervention , stroke (engine) , ischaemic stroke , intensive care medicine , emergency department , medical emergency , emergency medicine , computer science , ischemia , nursing , mechanical engineering , database , engineering
Clinical outcomes of acute ischaemic stroke patients have significantly improved with the advent of reperfusion therapy. However, time continues to be a critical factor. Reducing treatment delays by improving workflows can improve the efficacy of acute reperfusion therapy. Systems‐based approaches have improved in‐hospital temporal parameters, maximizing the utility of reperfusion therapies and improving clinical benefit to patients. However, studies aimed at optimizing and hence reducing treatment delays in emergency department (ED) settings are limited. The aim of this article is to discuss existing systems‐based approaches to optimize ED acute stroke workflows and its value in reducing treatment delays and identify gaps in existing workflows that need optimization. Identifying gaps in acute stroke workflow, variations in processes and challenges in implementation, in the in‐hospital settings, is essential for systems‐based interventions to be effective in delivering improved outcomes for patients with acute ischaemic stroke.