Abstract WP74: Organized System of Care Improves Door to Needle Times in Rural Montana
Joani Guzman, Daniel Davis, Mike McNamara, Carrie Oser, Christina L Armstrong, Janet M Trethewey, Gary Myers, Hannah Yang- Advanced and Specialized Nursing
- Cardiology and Cardiovascular Medicine
- Neurology (clinical)
Early reperfusion is critical to improved outcomes from acute stroke, with door-to-CT times < 25 min and door-to-needle times
Methods: In 2022, The Montana Stroke Initiative began a quality improvement project to improve door-to-CT and door-to-needle times for acute stroke in rural Montana (MT) with the following objectives: 1. Engage more CAHs in the stroke registry. 2. Initiate monthly clinical learning collaboratives to share stroke data and best practices in reducing door-to-CT times. 3. Create statewide stroke order-sets. 4. Involve stroke coordinators and physicians from MT’s certified stroke centers in providing education on the order-sets, NIHSS, and the importance of data abstraction for quality improvement. The Montana Department of Health and Human Services collects statewide stroke data using the Get With The Guidelines®-Stroke registry. For this analysis, all CAH acute stroke patients evaluated for thrombolytic therapy in 2021 and 2022-23 were included. These cohorts were compared to total number of patients and the primary outcome measures of door-to-CT time <25 min and door-to-needle time