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quality

Stroke Code Activation Time Audit

Track every critical stroke response timestamp in one audit workflow to spot delays, document causes, and improve treatment speed across the care path.

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Built for: Healthcare Β· Hospitals Β· Emergency Medicine Β· Neurology

What's inside this template

Case Identification and Activation

  • Stroke code activation time documented (critical Β· weight 4.0)
  • Patient arrival time documented (critical Β· weight 4.0)
  • Stroke code activation initiated promptly after recognition (critical Β· weight 6.0)
  • Relevant stroke alert team notified (weight 6.0)

Imaging Workflow

  • Door-to-CT time recorded (critical Β· weight 8.0)
  • Non-contrast head CT completed (critical Β· weight 7.0)
  • CT interpreted and communicated to treating team (critical Β· weight 5.0)
  • Imaging delays documented with reason (weight 5.0)

Thrombolytic Treatment Timing

  • Door-to-needle time recorded (critical Β· weight 8.0)
  • Thrombolytic eligibility assessed (critical Β· weight 6.0)
  • Contraindications reviewed and documented (critical Β· weight 5.0)
  • Delay to thrombolytic administration explained (weight 6.0)

Endovascular Therapy Timing

  • Door-to-puncture time recorded (critical Β· weight 8.0)
  • Endovascular team activated in timely manner (critical Β· weight 5.0)
  • Transfer to procedure area completed without avoidable delay (weight 4.0)
  • Procedure delay reason documented (weight 3.0)

Documentation and Quality Review

  • All key timestamps documented (critical Β· weight 4.0)
  • Case reviewed for process improvement opportunities (weight 3.0)
  • Corrective actions assigned when delays occurred (weight 3.0)

Common use cases

Emergency department stroke response audits
Hospital stroke program quality reviews
Door-to-CT and door-to-needle performance tracking
Endovascular thrombectomy workflow reviews
Monthly stroke case review meetings

Frequently asked questions

What does this audit template help measure?

It tracks the key time points in a stroke response, including activation, imaging, thrombolytic treatment, and endovascular therapy. This makes it easier to identify where delays occur and how they affect care.

Who should use this template?

It is useful for stroke program leaders, emergency department teams, quality improvement staff, and neurology services. Any team reviewing acute stroke workflow can use it to standardize case audits.

Can this template support quality improvement reviews?

Yes. It includes fields for documenting delay reasons and assigning corrective actions, which helps teams move from review to process improvement. That makes it suitable for recurring audits and performance tracking.

Does this template cover both thrombolytic and endovascular treatment timing?

Yes. It includes door-to-needle and door-to-puncture timing sections so teams can review both medication-based and procedure-based treatment pathways. This helps capture the full acute stroke workflow.

Is this template only for hospitals with a stroke center?

No. It can be adapted for any facility that receives and stabilizes suspected stroke patients, including community hospitals and transfer centers. The structure works well wherever stroke response timing needs to be reviewed.

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