Clinical Tools and Resources

Massachusetts Acute Stroke: Idealized DIDO Protocol 

Door-in-Door Out Best Practice Strategies

Target: Stroke provides hospitals with a variety of resources to help achieve Target: Stroke goals. American Heart Association/American Stroke Association expert field staff can also provide consultation to hospitals to improve door-to-needle times.

Target: Stroke Phase III Suggested Time Intervals Goals - This document summarizes the suggested time intervals for Target: Stroke Phase III DTN and DTD goals.

Target: Stroke Phase III Door-to-Device Time Key Best Practices Strategies - This document outlines 12 key best practice strategies for reducing door-to-device times for endovascular therapy in acute ischemic stroke. 

Target: Stroke Phase III Guide - This document provides strategies for reducing door-to-device times for endovascular therapy in acute ischemic stroke.

Laboratory Testing: Tips for Reducing Door-to-Needle Times Without Compromising Patient Safety - This tool provides three tips to tips to avoid laboratory delays to improve your patient’s door-to-needle times.

Stroke Quality Feedback Report - This document is an example of a stroke quality feedback report that can be used by hospitals to reduce their door to needle times.

Target: Stroke Phase III Patient Time Tracker - This document is an example of stroke patient time tracker that can be used by hospitals to reduce their door to needle and door to device times by tracking information such as door to TPA time, door to CT/MRI time, door to puncture, as well as other important information.

Target: Stroke Phase II Direct to CT Protocol - Protocols for the transport of stroke patients by EMS directly to the imaging suite and bypassing the conventional ED triage and full assessment process have been associated with door-to-needle times of <30 minutes and substantial improvements in door-to-needle times reported by select centers. This is included as one of the Target: Stroke Phase II Best Practice Strategies.

Target: Stroke: Door-to-Needle Compliance by state - This provides a look at aggregated data of DTN times by state, includes 2012, 2014 and 2016 data.

2016 Door-to-Needle Compliance by state (PDF)

2016 Door-to-Needle Compliance by state (Word Document)

2014 Door-to-Needle Compliance by state (PDF)

2014 Door-to-Needle Compliance by state (Word Document)

2012 Door-to-Needle Compliance by state (PDF)

2012 Door-to-Needle Compliance by state (Word Document)