Exemplary team-based acute stroke care algorithm.

<p>The algorithm needs to be adapted to the infrastructure and staff availiability of each individual hospital. The algorithm relies on a seamless cooperation with preclinical emergency medical services and encourages working in parallel with defined tasks for each stroke team member. The stroke alert is a speed dial collective call that summons all team members simultaneously to their respective workplaces.</p

Effects of the stroke team intervention on network-wide door-to-needle times.

<p>(A) Door-to-needle times of seven stroke units of the neurovascular network before and after the composite stroke team intervention. Data are given as median, 25 to 75% interquartile range (box) and extremes (whiskers). Statistical significance was assessed with a Mann-Whitney-U test, *** p < 0.001. (B) Individual median door-to-needle times in minutes of the seven stroke units before and after the stroke team intervention. Empty circles: University Hospital Frankfurt.</p

Effect of the simulation training on perceived stroke-readiness and patient safety.

<p>Responses to a questionnaire distributed to n = 152 participants of 6 stroke units (University Hospital Frankfurt did not participate actively in the intervention phase) directly before and after the simulation-based 2.5 h stroke team training. Participants were asked to respond anonymously on a 5-point scale. Statistical significance was assessed with a Wilcoxon signed-rank test. A) *** p < 0.001 and B) *** p < 0.001.</p

Exemplary team-based acute stroke care algorithm.

<p>The algorithm needs to be adapted to the infrastructure and staff availiability of each individual hospital. The algorithm relies on a seamless cooperation with preclinical emergency medical services and encourages working in parallel with defined tasks for each stroke team member. The stroke alert is a speed dial collective call that summons all team members simultaneously to their respective workplaces.</p

Study design and timeline of the INVN stroke team Rhein-Main quality campaign.

<p>Study design and timeline of the INVN stroke team Rhein-Main quality campaign.</p

Rating of the interdisciplinary simulation training by the participants.

<p>Responses to a questionnaire distributed to n = 152 participants of 6 stroke units (University Hospital Frankfurt did not participate actively in the intervention phase) directly before and after the simulation-based 2.5 h stroke team training. Participants were asked to respond anonymously.</p