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Abstract WP33: Improving Activation Of The Inpatient Stroke Response Team - A Two Decade Experience

Inpatient acute stroke may go unrecognized and missed treatment opportunities are often related to not activating an inpatient stroke response team (SRT). An inpatient stroke response protocol was implemented at our institution in 2001. Since implementation, several interventions have been tried to improve stroke recognition and increase the volume of SRT calls. Objective Describe the relationship between the interventions and change in stroke call volume aimed to support an inpatient SRT.
 
 Methods:
 We performed a retrospective review of all inpatient stroke calls at an urban university-affiliated Comprehensive Stroke Center. A descriptive analysis examined the change in call volume over 20 years as a result of various interventions to support inpatient stroke calls. Unit-based education, focused cardiology nursing unit education, all employee mandatory computer-based stroke education, addition of stroke unit nurses to the inpatient SRT, call process changes analogous to cardiac or respiratory alerts and treatment protocol updates were implemented. Previous interventions were continued as new ones were added.
 
 
 Results:
 A positive linear relationship between the interventions and call volume was noted. The average increase in annual call volume following an intervention was 47.95±42.39 calls. The average annual percent growth in call volume following an intervention was 134.79±134.58 percent. Continued nursing education led to the greatest increases in annual average call volume (Table).
 
 
 Conclusions:
 The results suggest that once implemented, supportive interventions positively impact the utilization of an inpatient SRT. Focused and frequent education regarding the inpatient stroke response protocols through annual education and activities related to program certification had the most impact on inpatient stroke team call volume at our center. These results may be beneficial to other stroke programs as they develop inpatient stroke protocols.
 
 
 
