Learning Collaborative Model Cuts Door-to-Needle Times

This article originally appeared here.
Share this content:
Learning Collaborative Model Cuts Door-to-Needle Times
Learning Collaborative Model Cuts Door-to-Needle Times

THURSDAY, Sept. 15, 2016 (HealthDay News) -- A learning collaborative model can reduce door-to-needle (DTN) times in patients with acute ischemic stroke treated with tissue-type plasminogen activator, according to a study published online Sept. 13 in Circulation: Cardiovascular Quality and Outcomes.

Shyam Prabhakaran, M.D., from the Northwestern University Feinberg School of Medicine in Chicago, and colleagues analyzed data from all adult patients with out-of-hospital ischemic stroke who received tissue-type plasminogen activator in the emergency department at 15 primary stroke centers in Chicago and 15 in St. Louis. In quarter one of 2013, a structured learning collaborative was implemented in Chicago that included a quality improvement leader, stroke content expert, multidisciplinary teams for each site, a targeted goal for the program, and face-to-face meetings with on-site visits. The authors compared the impact of the learning collaborative on DTN times pre-and post-implementation in Chicago and concurrently versus St. Louis.

In adjusted analyses, the researchers found that within one quarter of implementation the reduction in DTN time was 15.5 minutes at Chicago sites (P = 0.046), compared with 1.17 minutes at St. Louis sites (P = 0.601).

"Using a learning collaborative model at Chicago's 15 primary stroke centers, we observed major reductions in DTN times within one quarter of implementation," the authors write. "Regional collaboration and best practices sharing should be a model for rapid and sustainable system-wide quality improvement."

The study was funded by Genentech.

Abstract
Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions



Sign up for myCME e-newsletters


More in Home

Factors ID'd to Predict Fatty Liver in Obese Teens

Factors ID'd to Predict Fatty Liver in Obese ...

African-American obese teens more susceptible to fatty liver effects on glucose metabolism

Patients Prefer Doctors Who Engage in Face-to-Face Visits

Patients Prefer Doctors Who Engage in Face-to-Face Visits

Patients perceive F2F physicians as more compassionate and better communicators

Flexible Sigmoidoscopy Cuts CRC Incidence, Mortality in Men

Flexible Sigmoidoscopy Cuts CRC Incidence, Mortality in Men

Absolute risks for colorectal cancer, CRC death not reduced for screening group vs. controls in women

is free, fast, and customized just for you!

Already a member?

Sign In Now »