Improving telestroke treatment times through a quality improvement initiative in a Singapore emergency department

• Published in: Singapore medical journal Vol. 60; no. 2; pp. 69 - 74
• Main Authors: Mong, Rupeng, Tiah, Ling, Wong, Michelle, Tan, Camlyn
• Format: Journal Article
• Language: English
• Published: Singapore Singapore Medical Association 01.02.2019
• Subjects: Adult; Aged; Aged, 80 and over; Emergency Service, Hospital - organization & administration; Female; Humans; Interprofessional Relations; Intracranial Hemorrhages - prevention & control; Male; Middle Aged; Original; Quality Improvement; Severity of Illness Index; Singapore; Stroke - therapy; Telemedicine - methods; Telemedicine - organization & administration; Telemedicine - standards; Thrombolytic Therapy - methods; Time; Tissue Plasminogen Activator - therapeutic use; Treatment Outcome; Singapore; telemedicine; stroke; door-to-needle time; quality improvement

Telestroke allows for remote determination of suitability for treatment with thrombolysis in patients with acute ischaemic stroke. However, this approach is time-dependent and most centres have yet to achieve the recommended treatment times. We describe a quality improvement initiative aimed at impr...