Table 1. Workflow for Reduction of Door-To-Reperfusion Time in Acute Stroke Patients.

Stages	Workflow Steps
Pre-hospital phase	Rapid pre-hospital stroke recognition with stroke screening tools
	Pre-hospital notification and activation of stroke team
Reduction of door-to-imaging time	Rapid notification of arrival of suspected stroke patients to the stroke team
	“Warming call” to NI team for possible EVT
	Direct transportation from door-to-CT scanner
	Rapid clinical assessment and blood sampling in CT room
Reduction of imaging-to-puncture time	No time delay of treatment by informed consent
	Activation of NI team for EVT candidate
	Not awaiting for response of recombinant tissue plasminogen activator treatment
	Direct transportation from CT room to angiography suite
Reduction of puncture-to-reperfusion time	Deferring or eliminating non-essential procedures in favor of rapid EVT (groin shaving, bladder catheter insertion, intubation, and arterial line placement)
	Use of CS rather than general anesthesia during the procedure
	Preparing customized kits for EVT
	Standardization of the thrombectomy procedure
Neurological care after EVT	Rapid admission to stroke unit and care
Monitoring, feedback, and education	Regular provision of each time metric/quality improvement control

CS = conscious sedation, CT = computed tomography, EVT = endovascular treatment, NI = neurointervention