2021
Achieving More Rapid Door-to-Needle Times and Improved Outcomes in Acute Ischemic Stroke in a Nationwide Quality Improvement Intervention
Xian Y, Xu H, Smith E, Saver J, Reeves M, Bhatt D, Hernandez A, Peterson E, Schwamm L, Fonarow G. Achieving More Rapid Door-to-Needle Times and Improved Outcomes in Acute Ischemic Stroke in a Nationwide Quality Improvement Intervention. Stroke 2021, 53: 1328-1338. PMID: 34802250, DOI: 10.1161/strokeaha.121.035853.Peer-Reviewed Original ResearchConceptsAcute ischemic strokeProportion of patientsIschemic strokeNeedle timeSymptom onsetClinical outcomesNationwide quality improvement initiativePhase IBenefits of tPAGuidelines-Stroke hospitalsMedian DTN timeSecond intervention periodStroke symptom onsetQuality improvement interventionsQuality improvement initiativesPhase IIQuality Improvement ProgramHigh rateMinutes preinterventionBleeding complicationsHospital mortalityDTN timeHospital arrivalTPA useTherapy start
2012
Variability in the Perception of Informed Consent for IV-tPA during Telestroke Consultation
Thomas L, Viswanathan A, Cochrane T, Johnson J, O’Brien J, McMahon M, Santimauro J, Schwamm L. Variability in the Perception of Informed Consent for IV-tPA during Telestroke Consultation. Frontiers In Neurology 2012, 3: 128. PMID: 23015805, PMCID: PMC3449489, DOI: 10.3389/fneur.2012.00128.Peer-Reviewed Original ResearchTelestroke consultationIV-tPAStroke patientsConsent processAcute ischemic stroke patientsIntravenous tissue plasminogen activatorInformed consentBenefits of tPAAcute stroke patientsIschemic stroke patientsPatients/familiesTissue plasminogen activatorInformed consent presentationAdequacy of consentEmergency physiciansClinical situationsPatientsPhysician ratersPlasminogen activatorPhysiciansConsentSubgroupsConsultationReviewersLow quality