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Strategies for Optimization of Cryogenic Electron Tomography Data Acquisition

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Published on: March 19, 2021

Low-Cost Feedback Program for Reducing the Door-to-Computed Tomography Time.

Takashi Mitsuhashi¹, Joji Tokugawa¹, Hitoshi Mitsuhashi²

¹Department of Neurosurgery, Juntendo University Nerima Hospital, Tokyo, Japan.

Cerebrovascular Diseases Extra

|April 28, 2022

Summary

This summary is machine-generated.

This study introduces a low-cost feedback method to reduce door-to-computed tomography (DTC) time in stroke patients. The intervention successfully decreased both the average DTC time and its variability, improving stroke care quality.

Keywords:

Door-to-computed tomography time Feedback Interventions Low cost Nudge Quality program

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Area of Science:

Medical Informatics
Health Services Research
Emergency Medicine

Background:

Reducing door-to-computed tomography (DTC) time is crucial for early reperfusion therapy in stroke patients.
Existing methods to decrease DTC time often involve high implementation costs, limiting their widespread adoption.
This study explored a novel, simple, and low-cost intervention to shorten DTC time.

Purpose of the Study:

To evaluate the effectiveness of a low-cost feedback intervention on reducing door-to-computed tomography (DTC) time in stroke patients.
To assess the impact of providing regular DTC time feedback to medical teams on service quality and consistency.

Main Methods:

A 233-day field experiment was conducted at a Japanese university hospital involving 249 stroke patients.
Baseline DTC times were established over 58 days, followed by two feedback interventions on days 59 and 154.
Regular meetings provided feedback on individual patient DTC times to six healthcare professionals.

Main Results:

The mean DTC time decreased from 18.16 min (SD 7.38 min) at baseline (n=68) to 15.64 min (SD 5.97 min) post-intervention.
This reduction in mean DTC time was statistically significant (2.51 min difference, p=0.021).
The variability in DTC time also decreased, indicating improved consistency in care delivery.

Conclusions:

A simple, low-cost feedback intervention effectively reduced both the mean DTC time and its variation in stroke patients.
This approach enhances the quality and consistency of medical services, supporting early stroke treatment initiatives.
The findings highlight the significant impact of targeted feedback in improving emergency care processes.