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September 10, 2025Frontiers in NeurologyOpen Access

Decomposing door-to-needle time: insights into workflow delays and quality improvement in acute stroke care

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Authors

LWLianyan WeiHLHongfei LiZJZhuangzhuang Jiang

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Overview

Retrospective study reveals that workflow intervals impact door-to-needle time in acute ischemic stroke, highlighting quality improvement areas.

Key Points

  • ICT showed the strongest correlation with door-to-needle time at r = 0.845, emphasizing the need for focused interventions.
  • Imaging-guided thrombolysis increased door-to-needle time by 32.29 minutes, indicating potential delays in acute stroke protocols.
  • Analysis across 322 patients over two years identified key workflow delays that can inform targeted quality improvement strategies.
  • Senior physician involvement reduced door-to-needle time by 7.61 minutes, reinforcing the importance of experienced staff in stroke care.

Cite This Study

Wei et al. (2025) studied this question.

synapsesocial.com/papers/68c1a5ff54b1d3bfb60e0122https://doi.org/10.3389/fneur.2025.1651785
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Understanding door-to-needle delays in acute ischemic stroke: a workflow-based analysis of emergency department care processes2026
  2. 2Reducing Door-to-Needle Time for Tissue Plasminogen Activator Administration in a Community Hospital: An Operations Study2020 · 1 citations
  3. 3Hospital Variation in Thrombolysis Times Among Patients With Acute Ischemic Stroke2014 · 97 citations
  4. 4Abstract TP224: Moving the Door-to-Needle: Structured Process Improvements Reduce Acute Ischemic Stroke Treatment Times2026
  5. 5Improvement in Thrombolytic Therapy Administration in Acute Stroke with Feedback2012 · 11 citations