Lean thinking turns 'time is brain' into reality.

Abstract:

:Intravenous rt-PA is an effective recanalizing treatment for ischemic stroke within 4 and half hours from its onset (Onset-to-Treatment [OTT]), with the best result seen in those treated within 90 minutes OTT. Yet few patients currently are treated in this time frame. From the standpoint of process improvement or a lean thinking perspective, there is a potential opportunity to reduce the time by eliminating non-value-added steps in each element of the stroke survival chain. The reduction in one time element does not necessarily shift the OTT under 90 minutes. Most likely, the reduction in OTT requires a coordinated approach to track and improve all elements of OTT, from the patient's ability to recognize the onset of stroke up to delivery of medication. Shortening this total time should be a considered an indicator of quality improvement in acute stroke care.

journal_name

Arq Neuropsiquiatr

authors

Li LM,Johnson S

doi

10.1590/0004-282X20150047

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

526-30

issue

6

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2015000600526

journal_volume

73

pub_type

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