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February 2, 2026Stroke

Abstract TP224: Moving the Door-to-Needle: Structured Process Improvements Reduce Acute Ischemic Stroke Treatment Times

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Authors

SASina Aghili-MehriziARAmanda RowellKWKaren Packer Wilson

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Overview

Quality improvement project reduces door-to-needle times in acute ischemic stroke, indicating effective process enhancements.

Key Points

  • The aim is to reduce door-to-needle times for fibrinolytic therapy in acute ischemic stroke patients.
  • Conducted a quality improvement project in a comprehensive stroke program.
  • Implemented multiple interventions using the Plan-Do-Study-Act model.
  • Standardized triage protocols with a PLAN–SCAN–CAN mnemonic to expedite CT imaging and thrombolytic delivery.
  • Analyzed thrombolytic-eligible patients from 2023 to 2025.
  • DTN times improved by +9.2% (≤60 min), +8.4% (≤45 min), and +52.5% (≤30 min) between 2023–2024.
  • By 2025 YTD, gains were +11.8% (≤60 min), +26.7% (≤45 min), and +83.3% (≤30 min) compared to 2023 baseline.
  • The greatest improvement was observed in the ≤30-minute category.

Cite This Study

Aghili-Mehrizi et al. (2026) studied this question.

synapsesocial.com/papers/6980fd3cc1c9540dea80f03fhttps://doi.org/10.1161/str.57.suppl_1.tp224
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