| Title: |
Abstract 113: Kentucky SEQIP Statewide Collaboration Improves TPA Administration Rates and Decreases Door to Needle Times |
| Authors: |
Moore, Kari D; Bobo, Bonita; Bellamy, Lisa; Hollander, Cathy; Hundley, Lynn; Rock, Peter; Block, Starr |
| Source: |
Stroke ; volume 47, issue suppl_1 ; ISSN 0039-2499 1524-4628 |
| Publisher Information: |
Ovid Technologies (Wolters Kluwer Health) |
| Publication Year: |
2016 |
| Description: |
Background and Issues: Despite consistent evidence that functional outcome and quality of life are improved with early administration of IV rt-PA, Kentucky continued to struggle with achieving door-to-needle (D2N) times within 60 minutes of hospital arrival. The Kentucky Stroke Encounter Quality Improvement Project (SEQIP) hospital group voluntarily collaborated to increase treatment rates for rt-PA and decrease D2N times through sharing of data, best practice and adoption of the Target: Stroke 10 Key Best Practice Strategies. Purpose: The aim of this project was to utilize and share evidence based practice models among certified stroke centers and those pursuing certification in Kentucky to improve rt-PA utilization and D2N times throughout the Commonwealth. Methods: A statewide quality improvement plan (QI) was developed and targeted toward improvement of stroke patient care with regard to rt-PA administration. Each facility committed to examine data and recruit teams to identify barriers and implement best practice strategies within the confines of available resources. Accountability was achieved with expected sharing of barrier solutions, best practices and ongoing Get With The Guidelines data tracking at face to face meetings. Results: SEQIP’s participating hospitals achieved improvement compared to 2009 baseline data. Between 2009 and 2014, SEQIP achieved a 25.2% increase in proportion of patients eligible to receive rt-PA (Arrive by 2, Treat by 3 Hours) (n=1387) from 60.4% to 85.7%. Additionally, SEQIP hospitals increased the proportion of eligible patients receiving rt-PA (D2N |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1161/str.47.suppl_1.113 |
| Availability: |
https://doi.org/10.1161/str.47.suppl_1.113 |
| Accession Number: |
edsbas.261C3226 |
| Database: |
BASE |