Diagnostic investigations in adults with suspected stroke-improvement of door-to-imaging time: a best practice implementation project

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F25%3A00081776" target="_blank" >RIV/65269705:_____/25:00081776 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14110/25:00140744 RIV/61989592:15410/25:73635849 RIV/00159816:_____/25:00082321

Výsledek na webu

<a href="https://journals.lww.com/ijebh/abstract/9900/diagnostic_investigations_in_adults_with_suspected.160.aspx" target="_blank" >https://journals.lww.com/ijebh/abstract/9900/diagnostic_investigations_in_adults_with_suspected.160.aspx</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1097/XEB.0000000000000497" target="_blank" >10.1097/XEB.0000000000000497</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Diagnostic investigations in adults with suspected stroke-improvement of door-to-imaging time: a best practice implementation project

Popis výsledku v původním jazyce

Objectives: This evidence implementation project aimed to assess and improve compliance with evidence-based neuroimaging criteria for adult patients with suspected stroke. Introduction: Stroke is the second leading cause of mortality and severe disability, requiring timely and accurate diagnosis. Clinical guidelines recommend brain imaging within 60 minutes of hospital arrival for suspected stroke patients. This project involved hospitals in North West Anglia NHS Foundation Trust, UK, serving 850,000 people with over 800 admissions annually. Methods: The JBI Evidence Implementation Framework was used to guide this project. JBI software, the Practical Application of Clinical Evidence System (PACES), as well as JBI&apos;s Getting Research into Practice (GRiP) approach, were used to conduct the audit and implementation phases. The project followed three stages: (1) implementation planning, (2) baseline assessment and implementation, and (3) impact evaluation. Three audit criteria were used to represent best practices for diagnosing suspected stroke patients. Results: The baseline audit revealed low compliance with the first criterion, with only 2.9% (1/35) of patients receiving a CT head scan within 1 hour of admission. In the follow-up audit, compliance improved to 45.2% (14/31). The other two criteria, diagnosis by a trained health care professional and baseline ECG assessment, had already achieved 100% compliance in the baseline audit. Conclusions: Compliance with evidence-based neuroimaging criteria improved after implementing targeted educational strategies and training. The rate of CT scans conducted within 1 hour increased, although door-To-imaging times remain suboptimal compared with achievable benchmarks of LESS-THAN OR EQUAL TO 20 minutes. Ongoing education and training are crucial for sustaining high compliance and improving stroke patient outcomes. Spanish abstract: http://links.lww.com/IJEBH/A324.

Název v anglickém jazyce

Diagnostic investigations in adults with suspected stroke-improvement of door-to-imaging time: a best practice implementation project

Popis výsledku anglicky

Objectives: This evidence implementation project aimed to assess and improve compliance with evidence-based neuroimaging criteria for adult patients with suspected stroke. Introduction: Stroke is the second leading cause of mortality and severe disability, requiring timely and accurate diagnosis. Clinical guidelines recommend brain imaging within 60 minutes of hospital arrival for suspected stroke patients. This project involved hospitals in North West Anglia NHS Foundation Trust, UK, serving 850,000 people with over 800 admissions annually. Methods: The JBI Evidence Implementation Framework was used to guide this project. JBI software, the Practical Application of Clinical Evidence System (PACES), as well as JBI&apos;s Getting Research into Practice (GRiP) approach, were used to conduct the audit and implementation phases. The project followed three stages: (1) implementation planning, (2) baseline assessment and implementation, and (3) impact evaluation. Three audit criteria were used to represent best practices for diagnosing suspected stroke patients. Results: The baseline audit revealed low compliance with the first criterion, with only 2.9% (1/35) of patients receiving a CT head scan within 1 hour of admission. In the follow-up audit, compliance improved to 45.2% (14/31). The other two criteria, diagnosis by a trained health care professional and baseline ECG assessment, had already achieved 100% compliance in the baseline audit. Conclusions: Compliance with evidence-based neuroimaging criteria improved after implementing targeted educational strategies and training. The rate of CT scans conducted within 1 hour increased, although door-To-imaging times remain suboptimal compared with achievable benchmarks of LESS-THAN OR EQUAL TO 20 minutes. Ongoing education and training are crucial for sustaining high compliance and improving stroke patient outcomes. Spanish abstract: http://links.lww.com/IJEBH/A324.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30218 - General and internal medicine

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

JBI Evidence Implementation

ISSN

2691-3321

e-ISSN

2691-3321

Svazek periodika

23

Číslo periodika v rámci svazku

Suppl 1

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

8

Strana od-do

"S27"-"S34"

Kód UT WoS článku

001457378200001

EID výsledku v databázi Scopus

2-s2.0-85218908455