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Published on: January 15, 2017
Targeting telestroke: benchmarking time performance in telestroke consultations.
Julian P Yang1, Tzu-Ching Wu, Charles Tegeler
1Department of Neurology, Duke University Medical Center, Durham, NC 27710, USA.
Summary
Telestroke consultations are brief, averaging 14.5 minutes, suggesting off-line data review. However, prolonged response times highlight an area for improving acute stroke care efficiency.
Area of Science:
- Neurology
- Telemedicine
- Health Informatics
Background:
- Telestroke consultations are crucial for timely acute stroke care.
- Understanding consultation duration and response times is key to optimizing telestroke workflows.
Purpose of the Study:
- To determine the duration of telestroke consultations.
- To identify factors influencing consultation length and response times.
Main Methods:
- Retrospective review of telestroke software data from 8 hub and 24 spoke hospitals.
- Analysis of 235 consecutive consultations (July 2010-February 2011).
- Consultation length defined by robot log-on time; response time from patient arrival to physician log-on.
Main Results:
- Mean consult length was 14.5 minutes for 203 cases.
- No association found between consult length and patient demographics, diagnosis, or risk factors.
- r-tPA-recommended cases had longer consults (20.0 vs. 15.3 minutes, P=.04).
- Mean response time was 76.3 minutes.
Conclusions:
- Short consult length suggests an off-line data review model.
- Prolonged response times indicate a need for workflow optimization.
- Revising telestroke workflows is essential for improving care quality and efficiency.
