Percent of acute ischemic stroke patients receiving intravenous alteplase therapy during the hospital stay who have a time from hospital arrival to initiation of thrombolytic therapy (door-to-needle time) of 60 minutes or less
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1.14 Numerator
Patients who receive IV alteplase at my hospital within 60 minutes after arrival
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1.15 Denominator
All patients with a final clinical diagnosis of ischemic stroke who received IV alteplase at my hospital
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Exclusions
Denominator exclusions:
• Age < 18 years
• Stroke occurred after hospital arrival (in ED/Obs/inpatient)
• Patients whose date/time of ED arrival and/or date/time of IV alteplase administration is blank, unknown, or MM/DD/YYYY only.
• Patients with a negative calculated time difference
• Patients with a Date Last Known Well, but no time Last Known Well
• Patients that receive IV alteplase greater than 4.5 hours after Last Known Well
• Patients who received IV alteplase at an outside hospital or by EMS/Mobile Stroke Unit
• Clinical Trial
Denominator exceptions:
• Patients who received IV alteplase greater than 60 minutes after arrival and have a documented Eligibility or Medical Reason for delay in treatment
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1.13a Data dictionary not attachedNo
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Most Recent Endorsement ActivityEndorsed Neurology Fall Cycle 2019Initial EndorsementLast Updated
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Steward Organization EmailSteward Organization Copyright
© 2019 American Heart Association/American Stroke Association. All Rights Reserved.
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Risk AdjustmentRisk adjustment approachOffRisk adjustment approachOffConceptual model for risk adjustmentOffConceptual model for risk adjustmentOff
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6.1.2 Current or Planned Use(s)
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Planned Use
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