Organizational solutions to improve timeliness and effectiveness of the stroke care

Safety in Health

Table 1 The suggested interventions

Unit	Action	Responsible person	Starting date
118 Service	ECG execution in 2 copies to be left in ER	Physician in charge of the emergency service	10 June
	Venous access (where possible)	Physician in charge of the emergency service	10 June
	Family contacts for fibrinolysis authorization + registration of full name and date of birth of patient	Physician in charge of the emergency service	10 June
Emergency room	Patient admission in Shock Room	ER triage	10 June
	Ensuring two venous access of needle cannula (size 18G)	ER nurse	10 June
	Insertion of bladder catheter	ER nurse	10 June
	Confirmation of the patient arrival by the radiologist	ER triage	10 June
	Do not perform blood gas test unless the clinical condition of the patient make this necessary	ER nurse	10 June
	Avoiding the placement of the nasogastric tube	ER nurse	10 June
Neuroradiology	The neuroradiologist goes to CAR room when the stroke patient arrives in ER (II call)	Neuroradiology director	10 June
Stroke unit	Formalization of the nurse role in the stroke process	Stroke Unit director + nurse Coordinator of the Stroke Unit	10 June
	Starting of a new procedure for the stroke nurse	Stroke Unit director + nurse Coordinator of the Stroke Unit	10 June
	Writing of a new procedure	Stroke Unit director	10 June

ISSN: 2056-5917