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Related Experiment Video

Updated: Jun 26, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Simulation-based training improves process times in acute stroke care (STREAM).

Ferdinand O Bohmann1, Katharina Gruber1, Natalia Kurka1

  • 1Department of Neurology, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany.

European Journal of Neurology
|September 3, 2021
PubMed

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Summary
This summary is machine-generated.

Simulation training improved acute stroke care process times, particularly for experienced teams. Door-to-needle times decreased by 5 minutes, and door-to-groin times were significantly shorter for simulation-experienced teams.

Area of Science:

  • Neurology
  • Medical Simulation
  • Healthcare Management

Background:

  • Acute stroke care involves complex, time-sensitive processes.
  • Optimizing treatment pathways is crucial for patient outcomes.
  • The STREAM Trial investigated simulation training's impact on stroke care efficiency.

Purpose of the Study:

  • To evaluate the effect of simulation training on process times in acute stroke care.
  • To assess the impact of simulation-based interventions on intravenous thrombolysis (IVT) and endovascular therapy (EVT) timelines.
  • To determine if simulation experience influences stroke team performance.

Main Methods:

  • Multicenter prospective interventional trial (STREAM Trial) conducted in Germany.
  • Pre- and post-interventional observation phases at seven neurocenters.
Keywords:
CRMsimulationstrokethrombolysistraining

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  • Intervention: composite of stroke-specific in situ simulation training and workflow refinement.
  • Data collected: patient characteristics, process times, team composition, simulation experience.

    • Main Results:

    • Overall effect on acute stroke process times was neutral.
    • Secondary analysis revealed a 5-minute reduction in door-to-needle (DTN) time for IVT (38 to 33 minutes, p=0.03) by simulation-experienced teams.
    • Endovascular therapy (EVT) showed significantly shorter door-to-groin times for simulation-experienced teams (-21 minutes, p=0.04).

    Conclusions:

    • A combined intervention of workflow refinement and simulation training can enhance acute stroke care process times.
    • Simulation experience in stroke teams is associated with improved efficiency in critical treatment phases.
    • Targeted simulation interventions show promise for optimizing acute stroke management.