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Workflow optimization in vertebrobasilar occlusion.

Abstract：

OBJECTIVE:In vertebrobasilar occlusion, rapid recanalization is the only substantial means to improve the prognosis. We introduced a standard operating procedure (SOP) for interventional therapy to analyze the effects on interdisciplinary time management. METHODS:Intrahospital time periods between hospital admission and neuroradiological intervention were retrospectively analyzed, together with the patients' outcome, before (n=18) and after (n=20) implementation of the SOP. RESULTS:After implementation of the SOP, we observed statistically significant improvement of postinterventional patient neurological status (p=0.017). In addition, we found a decrease of 5:33 h for the mean time period from hospital admission until neuroradiological intervention. The recanalization rate increased from 72.2% to 80% after implementation of the SOP. CONCLUSION:Our results underscore the relevance of SOP implementation and analysis of time management for clinical workflow optimization. Both may trigger awareness for the need of efficient interdisciplinary time management. This could be an explanation for the decreased time periods and improved postinterventional patient status after SOP implementation.

journal_name

Cardiovasc Intervent Radiol

journal_title

Cardiovascular and interventional radiology

authors

Kamper L,Meyn H,Rybacki K,Nordmeyer S,Kempkes U,Piroth W,Isenmann S,Haage P

doi

10.1007/s00270-011-0222-y

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

491-7

issue

3

eissn

0174-1551

issn

1432-086X

journal_volume

35

pub_type

杂志文章

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