Volume 10,Issue 9
Medical Quality Improvement Case Study on Shortening Door-to-Puncture Time for Stroke Patients Undergoing Thrombectomy
Objective: To investigate the application effect of the FOCUS-PDCA method in shortening door-to-puncture time (DPT) in patients with acute large vessel occlusion stroke undergoing thrombectomy. Methods: A total of 26 patients undergoing thrombectomy admitted to the Department of Neurology II of our hospital from July 2024 to December 2024 were selected as the pre-improvement group, and 28 patients undergoing thrombectomy admitted from January 2025 to June 2025 were selected as the post-improvement group. Interventions included establishing a multidisciplinary team, developing a DPT timeline, optimizing the green channel, and establishing informatization monitoring. Results: After improvement, the median DPT decreased from 130 min to 82 min, and the < 90-min compliance rate increased from 10% to 72%. The proportion with good 90-day prognosis (mRS ≤ 2) increased to 52%, and both mortality and average length of hospital stay were significantly reduced. Conclusion: FOCUS-PDCA quality improvement can effectively shorten DPT in patients undergoing thrombectomy and improve clinical prognosis, and is worthy of promotion.
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[4] Yan X, Shao Y, Xiao L, et al., 2025, Application of Automated Assessment Software in Optimizing the Thrombectomy Workflow for Stroke. Journal of Xi’an Jiaotong University (Medical Sciences), 46(6): 910–915.
[5] General Office of the National Health and Family Planning Commission, 2016, Comprehensive Stroke Prevention and Control Work Plan (Guo Wei Ban Ji Kong Fa [2016] No. 49).
[6] General Office of the National Health Commission, 2023, 2023 National Medical Quality and Safety Improvement Goals.
