• J Emerg Nurs · Jul 2023

    Clinical Trial

    Telestroke Process at a Community Hospital: A Quality Improvement Project.

    • Bryce A Kennedy and Pamela J Stout.
    • J Emerg Nurs. 2023 Jul 1; 49 (4): 546552546-552.

    IntroductionAn updated stroke process was designed and implemented at an Acute Stroke Ready community hospital that relies on telestroke services. The objectives of the current quality improvement project were to describe the updates to the stroke process and compare pre- and postintervention data on nurse-driven elements of the process, namely telestroke notification and neurologist assessment.MethodsOur multidisciplinary team reviewed quality data over several months to identify areas of improvement in the stroke process. Delays in door to telestroke notification and neurologist assessment were identified. A new process was developed and implemented, including e-alert notification and storing the telestroke cart in the computed tomography suite. The study period was 14 months, with nonrandomized, convenience sample data collected for 7 months before and after intervention.ResultsThere was a significant reduction in door to telestroke notification and neurologist assessment after implementing the new process. Door to telestroke notification and neurologist assessment were also strongly correlated.DiscussionThis project led to significant improvements in nurse-driven elements of the stroke process. It demonstrates effective implementation of e-alert and collaboration with telestroke services at an Acute Stroke Ready Hospital serving rural communities.Copyright © 2022 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

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