Abstract P844: The Use of Innovative Technology to Reduce Time of Notification Activation to Confirmation Response of Endovascular Team

Abstract

Background: It is well recognized that time to treatment inversely affects good outcome in acute stroke patients. The sooner patients are evaluated by a trained stroke physician, the more likely they will receive approved acute stroke treatments and interventions. At our Comprehensive Stroke Center, the code stroke team is made up of individuals and providers from multiple disciplines and in the activation of a code stroke, timing is the key element and we sought to improve this notification process through the use of a unifying single, alert system. Purpose: The goal of this project was to reduce our team activation time. We introduced an application called PerfectServe which allows for the entire stroke team to be alerted and the immediate notification of the neuro-interventional radiology team, when a suitable candidate is identified, without having to rely on a multistep process. Methods: Implementation of interventional radiology stroke intervention team using PerfectServe application notifications alongside our neurology and neuro-interventional radiology providers and enabling them to see real time updates of stroke patients and communicate plans of care. Retrospective analysis using a T-test analysis technique analyzed the data related to a one step process (PerfectServe application) and a previously utilized multiple step process (Everbridge application) times in minutes. Results: The one-step PerfectServe application significantly decreased the team notification alert to response confirmation by 10 minutes ( p =0.05). Conclusions: The one-step PerfectServe application activation process provided more effective communication, team activation times, and better door to treatment times.