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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Lean thinking turns `time is brain' into reality

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Autor(es):
Li, Li Min [1, 2, 3] ; Johnson, Sharon [1]
Número total de Autores: 2
Afiliação do(s) autor(es):
[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
Número total de Afiliações: 3
Tipo de documento: Artigo Científico
Fonte: Arquivos de Neuro-Psiquiatria; v. 73, n. 6, p. 526-530, JUN 2015.
Citações Web of Science: 3
Resumo

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)

Processo FAPESP: 14/10911-3 - Gestão da linha de cuidados do paciente com acidente vascular cerebral
Beneficiário:Li Li Min
Linha de fomento: Bolsas no Exterior - Pesquisa