Improvement initiative in stroke care.

We read with interest the article by Li and Johnson in which they demonstrated that improvement initiatives were able to reduce alarm-to-needle time in acute stroke care by applying the Lean Six Sigma approach. In Brazil, the Unified Health System is challenged to improve efficiency with limited budgets by ensuring that the right things are done by the right people at the right time. Successful implementations in the National Health System (United Kingdom) have shown that Lean thinking contributes to [...]