Date of Conferral

10-21-2026

Date of Award

October 2026

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Teresa Nardontonia

Abstract

There are several differences in how hospitalized patients who have had an acute ischemic stroke receive the timely services they need to be treated for their condition as opposed to those receiving treatment from the Emergency Department. For example, it is common that there is delay in recognizing that a patient has experienced an acute ischemic stroke; delaying activation of the Rapid Response Team (RRT); transporting them to CT scans; and making decisions about treating them. Data collected by our organization showed on average when RRT was activated, it took approximately 31 minutes to get the patient transported to CT for imaging. This was longer than the goal of 20 or less minutes established by our organization. There is evidence that implementing standardize inpatient stroke workflows; providing opportunities for interdisciplinary communication; utilizing simulation-based education; and implementing standardized documentation can support improvements in the timeliness of care provided to patients and improved patient outcomes. To address these challenges this project will implement a standardized inpatient Stroke RRT workflow utilizing the Johns Hopkins Evidence Based Practice Model and iterative PDSA cycles.

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