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Total Quality Improvement Method for Reduct of Delays Between ER Dept Adm & Trtm of Acute Ischemic Stroke Arch Neurol 54:1466-1474, Tilley,B.C.,et al, 1997 See this aricle in Pubmed Article Abstract Total quality improvement methods identified hospital-specific process improvements.Many improvements were administrative,requiring no additional resources.More than 50%of screened patients arrived too late to be treated.Only 1268 patients were admitted between 0 and 125 minutes from stroke onset with no other trial exclusion criteria;48%were treated.Of 243 patients admitted between 126 and 170 minutes from stroke onset with no exclusion criteria,4%were treated.Mean time from ED admission to treatment was similar in teaching and community hospitals.Total quality improvement methods identified ED-specific sources of process variability and reduced time between ED admission and treatment.Therefore,these methods should be considered in developing and monitoring emergent stroke treatment protocols.

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