Table 1

Costs (US$) of different components of a QI project designed to improve door-to-needle time in stroke thrombolysis

Costs*Cost-ingredient category†
Sequence of QI
 QI education26 797ST, PF
 Identify local quality issue1 354SF
 Understand the problem762SF
 Develop a strategy and change ideas846SF
 Test change ideas1 719SF
 Sustaining the gains423‡SF
Process mapping and redesign
 Audit all stakeholders about current process2 074SF, CF
 Flowcharting, map process, identify time thieves1 920SF, TM
 Meetings with all stakeholders pre-implementation1 204SF
 Research relevant literature345SF
Engage and communicate to stakeholders
 Staff meetings during implementation2 407SF
 Print and distribute flowcharts261SF, TM
Improve teamwork and communication
 In situ simulation–based team training1 718‡SF, TM, FC, LC, CF
 In situ simulation–based team training equipment815TM
 Facilitator education (train-the-trainer course)4 298ST
  • *Including costs for staff training, unpaid time, employer’s national insurance contribution and adjustment for inflation. All costs are total costs unless otherwise specified.

  • †Cost ingredients according to table 2 in Zendejas et al. 20

  • ‡Monthly recurring costs.

  • §Created by the authors.

  • CF, communication fee; FC, faculty cost; LC, learner cost; PF, participation fee; QI, quality improvement; SF, staff fee; ST, staff training; TM, training materials.