A Rural Hospital’s Journey to Becoming a Certified Acute Stroke-Ready Hospital
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- 作者：Denise C. Rhew ; PHD ; RN ; CNS ; CEN ; denise.rhew@conehealth.comAuthor Vitae ; Susan H. Owens ; BSN ; RN ; CENAuthor Vitae ; Jessica B. Buckner ; MSN ; RN ; AGCNS-BCAuthor Vitae ; Sandra S. Kueider ; MSN ; RN ; HCA ; NEBCAuthor Vitae
- 关键词：Stroke ; Acute ischemic stroke ; Hemorrhagic stroke ; Teleneurology ; Stroke certification ; Alteplase
- 刊名：Journal of Emergency Nursing
- 出版年：2017
- 出版时间：January 2017
- 年：2017
- 卷：43
- 期：1
- 页码：33-39
- 全文大小：392 K
- 卷排序：43
文摘
For many stroke patients, rural emergency departments are the first point of medical care to stop brain cell death. We identified a need to meet standards to improve outcomes for stroke care.MethodsAn interdisciplinary Stroke Continuous Process Improvement Committee was formed. We conducted a gap analysis to address current stroke care processes. Chart audits were performed, and strategies to meet the requirements for recognition as an Acute Stroke Ready Hospital (ASRH) were implemented. The ASRH guidelines guided our certification journey.ResultsASRH certification was achieved. In addition, stroke care outcomes such as door-to-computed tomography results, door-to-international normalized ratio results, door teleneurology consultation, and door-to-needle time have improved.Implications for PracticeAchieving certification makes a strong statement to the community about a hospital’s efforts to provide the highest quality in stroke care services. Becoming a certified ASRH promotes quality of patient care by reducing variation in clinical processes.