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This study found that average stroke thrombolysis rates of 18% are achievable, and inter-hospital variation came from differences in local patient populations and in-hospital processes and decision making.

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Michael Allen 1,*, Charlotte James 1, Julia Frost 1, Kristin Liabo 1, Kerry Pearn 1, Thomas Monks 1, Zhivko Zhelev 1, Stuart Logan 1, Richard Everson 2, Martin James 3,4, Ken Stein 1

1 Medical School, University of Exeter, Exeter, UK
2 Computer Science, University of Exeter, Exeter, UK
3 Royal Devon and Exeter Hospital, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK
4 University of Exeter, Exeter, UK
* Corresponding author Email: m.allen@exeter.ac.uk

Declared competing interests of authors: Ken Stein has been a member of a number of National Institute for Health and Care Research (NIHR) committees (2011–present) and is currently Programme Director of the NIHR Systematic Reviews Programme and editor-in-chief of the NIHR Journals Library.

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