- Anybody who's worked at an emergency department, knows that it's a little bit of controlled chaos, there's a lot of stuff going on, and there's delays that are avoidable, and there's delays which are not avoidable because actually part of the clinical care. So for example, in this study there, they combined both, sometimes for example, somebody may come in and their blood pressure is very high and we need to be able to lower that blood pressure before we're trying to unblock the artery because that could be associated with bleeding in the brain. So some of this relates to the care processes that need to happen so lowering the blood pressure, sometimes a lot of these people in these have gotten TPA already, and sometimes patients start on their medication they seem to get worse and so you have to take them to get another image of the brain before you take them to get their clot out. And so some of those patients, because they're getting worse are gonna do worse for whatever reason, and so some of this relates to things that are just part of clinical care, but there's the other part that is related just to logistics of getting the team together. So for example, how efficient are our onsite are the is the team that's going to take out the clot? So if this is on at 2:00 AM in the morning and everybody's at home sleeping, will they have to drive to get there? So some of that may be just unavoidable, but sometimes it is avoidable like during the day, making sure you have backup, making sure that there's somebody available, making sure that there's a real clear process in place by which when you get this step done you're going right to the next step and there's no delays of going back to the emergency department, whatever. Sometimes we can even image people with their brain in this Angio Suite, And so you're not having to move them to different places. So the point is there's a lot of different ways we can deal with the avoidable delays, and we wanna systematically look at that at our hospitals, and we want to measure it because unless you measure things you really don't know how you're doing, your locally over time or compared against other places.