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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Lean thinking turns `time is brain' into reality

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Author(s):
Li, Li Min [1, 2, 3] ; Johnson, Sharon [1]
Total Authors: 2
Affiliation:
[1] Worcester Polytech Inst, Robert A Foisie Sch Business, Healthcare Delivery Inst, Worcester, MA 01609 - USA
[2] UMass Med Sch, Worcester, MA - USA
[3] Univ Estadual Campinas, Fac Ciencias Med, Dept Neurol, Campinas, SP - Brazil
Total Affiliations: 3
Document type: Journal article
Source: Arquivos de Neuro-Psiquiatria; v. 73, n. 6, p. 526-530, JUN 2015.
Web of Science Citations: 3
Abstract

Intravenous rt-PA is an effective recanalizing treatment for ischemic stroke within 4 and half hours from its onset (Onset-to-Treatment {[}OTT]), with the best result seen in those treated within 90 minutes OTT. Yet few patients currently are treated in this time frame. From the standpoint of process improvement or a lean thinking perspective, there is a potential opportunity to reduce the time by eliminating non-value-added steps in each element of the stroke survival chain. The reduction in one time element does not necessarily shift the OTT under 90 minutes. Most likely, the reduction in OTT requires a coordinated approach to track and improve all elements of OTT, from the patient's ability to recognize the onset of stroke up to delivery of medication. Shortening this total time should be a considered an indicator of quality improvement in acute stroke care. (AU)

FAPESP's process: 14/10911-3 - Healthcare delivery for stroke
Grantee:Li Li Min
Support type: Scholarships abroad - Research