The CLOQS Trial - Countdown Lights to Optimize Quality in Stroke "CLOQS"

Completed

Phase N/A Results N/A

Update History

10 Dec '15
The Summary of Purpose was updated.
New
To reduce door-to-needle times in acute stroke treatment. Using an organizational behaviour intervention (a large stopwatch), we will post a visual cue to remind all parties that "time is brain". We hypothesize that this simple visual cue will improve door-to-CT scan times and door-to-needle treatment times, and thus improve treatment response, and reduce adverse events.
Old
To reduce door-to-needle times in acute stroke treatment. Using an organizational behaviour intervention (a large stopwatch), we will post a visual cue to remind all parties that "time is brain". We hypothesize that this simple visual cue will improve door-to-CT scan times and door-to-needle treatment times, and thus improve treatment response, and reduce adverse events.
The description was updated.
New
We will construct a large, "in-your-face" red LED stopwatch-clock that is the intervention. The clock will be attached to the stretcher of patients presenting for hyperacute stroke treatment (consideration of tissue plasminogen activator (tPA) treatment at the moment of their Emergency department arrival. This will act as a constant visual reminder to all team members (physicians, RN's, CT technologists) of the urgency of the situation. The study will be a block randomization, by week of presentation. All patients presenting during "on" weeks will have a stopwatch timer with them during the hyperacute stroke workup. During "off" weeks, the clocks will not be used.
Old
We will construct a large, "in-your-face" red LED stopwatch-clock that is the intervention. The clock will be attached to the stretcher of patients presenting for hyperacute stroke treatment (consideration of tissue plasminogen activator (tPA) treatment at the moment of their Emergency department arrival. This will act as a constant visual reminder to all team members (physicians, RN's, CT technologists) of the urgency of the situation. The study will be a block randomization, by week of presentation. All patients presenting during "on" weeks will have a stopwatch timer with them during the hyperacute stroke workup. During "off" weeks, the clocks will not be used.
The eligibility criteria were updated.
New
Inclusion Criteria: - All patients who present to the emergency room with acute stroke for consideration of treatment with tPA. Exclusion Criteria: - Patients presenting to the emergency room (door time) more than 4.5 hours after symptom onset
Old
Inclusion Criteria: - All patients who present to the emergency room with acute stroke for consideration of treatment with tPA.
A location was updated in Toronto.
New
The overall status was removed for St. Michael's Hospital.
A location was updated in Toronto.
New
The overall status was removed for Sunnybrook Health Sciences Centre.
A location was updated in Toronto.
New
The overall status was removed for University Health Network - Toronto Western Hospital.