Stroke code simulation lab

Le résumé fourni par la source

Introduction: The lack of standardized training for neurology residents in the management of stroke codes allows for suboptimal care, and may negatively impact patients' outcome.We designed and implemented a stroke code simulation lab with the objective of improving door to needle time for acute stroke thrombolytic therapy.Method: Thirteen trainees were enrolled in the simulation lab.Each participant was asked to lead a mock stroke code performed on a standardized patient.The mock cases included clinical vignettes that mimicked real-life scenarios.The effect of the simulation lab on the trainees' level of knowledge was assessed using pre-and post-course tests and a course survey.To test whether implementing a simulation lab reflected directly on patients' outcome, a 12-month retrospective chart review to compare door-to-needle time DNT before and after stroke codes was undertaken.Results: Door-to-needle time improved by 12 minutes following the implementation of the simulation lab (52 minutes before, versus 40 minutes after.P value 0.012).Pre-and post-training knowledge test scores improved from 61% to 81%.(p=0.00002).A 6-question survey showed that the course was received favorably by the participating trainees.Conclusion: Stroke code simulation lab can be an effective tool in improving neurology residents' knowledge of responding to and managing stroke codes.Moreover, the simulation reduced door-to-needle time indicating its potential usefulness in improving patient outcomes.

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