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February 2, 2026Stroke

Abstract WP200: "Stroke on the Fast Track: Advancing Door-to-Puncture Through EMS Optimization"

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Authors

FSFrancesca Stone

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Overview

A quality improvement initiative enhances door-to-puncture times in stroke care, suggesting significant impact on treatment efficiency.

Key Points

  • This initiative aimed to achieve door-to-puncture times of ≤60 minutes in at least 85% of eligible stroke patients.
  • Formed an interdisciplinary team to review and optimize existing processes.
  • Implemented an escalation notification system based on the S-LAMS score.
  • Designated a rapid assessment room in the emergency department.
  • Conducted ongoing EMS education with standardized feedback for triage accuracy.
  • Achieved a 106% increase in the percentage of patients meeting the ≤60-minute target.
  • 33% of patients achieved the goal from January to May 2025, with monthly rates rising significantly.
  • Coordination, workflow efficiency, and continuous improvement led to better stroke care metrics.

Cite This Study

Francesca Stone (2026) studied this question.

synapsesocial.com/papers/6980fc17c1c9540dea80df11https://doi.org/10.1161/str.57.suppl_1.wp200
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Also Consider

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

  1. 1Abstract WP201: Lean, Fast, and Focused: Standardizing Stroke Activation to Optimize Door-to-Needle and Door-in-Door-Out Time2026
  2. 2Abstract TP224: Moving the Door-to-Needle: Structured Process Improvements Reduce Acute Ischemic Stroke Treatment Times2026
  3. 3Abstract TP037: Reducing Door-to-Needle Times in the Emergency Department Through Optimized Code Stroke Workflow and Early CT Thrombolytic Administration2026
  4. 4Impact of Strengthened Collaboration with Emergency Medical Services and In-Hospital Workflow Optimization for Reducing Treatment Delays in Endovascular Thrombectomy2025
  5. 5ASSESSING THE EFFECTIVENESS OF OPTIMIZATION STRATEGIES IN HOSPITAL CARE FOR STROKE CODE: IMPLICATIONS FOR DOOR-TO-NEEDLE TIMES2024