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Enhancing and accelerating stroke treatment in Eastern European region: Methods and achievement of the ESO EAST program
R. Mikulík, V. Caso, NM. Bornstein, V. Svobodová, FR. Pezzella, A. Grecu, S. Simsic, Z. Gdovinova, A. Członkowska, TS. Mishchenko, Y. Flomin, IG. Milanov, S. Andonova, C. Tiu, A. Arsovska, H. Budinčević, SA. Groppa, D. Bereczki, J. Kõrv, T....
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články
PubMed
32637654
DOI
10.1177/2396987319897156
Knihovny.cz E-zdroje
- Publikační typ
- časopisecké články MeSH
Introduction: Despite the availability of prevention and therapies of stroke, their implementation in clinical practice, even of low-cost ones, remains poor. In 2015, the European Stroke Organisation (ESO) initiated the ESO Enhancing and Accelerating Stroke Treatment (EAST) program, which aims to improve stroke care quality, primarily in Eastern Europe. Here, we describe its methods and milestones. Patients and methods: The ESO EAST program is using an implementation strategy based on a 'detecting-understanding-reducing disparities' conceptual framework: stroke care quality is first measured (after developing a platform for data collection), gaps are identified in the current service delivery, and ultimately feedback is provided to participating hospitals, followed by the application of interventions to reduce disparities. The ESO EAST program is carried out by establishing a stroke quality registry, stroke management infrastructure, and creating education and training opportunities for healthcare professionals. Results: Program management and leadership infrastructure has been established in 19 countries (Country Representatives in 22 countries, National Steering Committee in 19 countries). A software platform for data collection and analysis: Registry of Stroke Care Quality was developed, and launched in 2016, and has been used to collect data from over 90,000 patients from >750 hospitals and 56 countries between September 2016 and May 2019. Training in thrombolysis, nursing and research skills has been initiated. Discussion: ESO EAST is the first pan-Eastern European (and beyond) multifaceted quality improvement intervention putting evidence-informed policies into practice. Continuous monitoring of stroke care quality allows hospital-to-hospital and country-to-country benchmarking and identification of the gaps and needs in health care.
2nd Department of Neurology Institute of Psychiatry and Neurology Warsaw Poland
Comprehensive Stroke Unit MC 'Universal Clinic 'Oberig' Kyiv Ukraine
Department of Neurology Med Campus 3 Kepler University Hospital Linz Austria
Department of Neurology Semmelweis University Budapest Hungary
Department of Neurology Stroke and Intensive Care Unit Sveti Duh University Hospital Zagreb Croatia
International Clinical Research Center St Anne's University Hospital Brno Czech Republic
Neurology Clinic Medical University of Sofia Sofia Bulgaria
Santa Maria della Misericordia Hospital University of Perugia Perugia Italy
Shaare Zedek Medical center Jerusalem Tel Aviv University Tel Aviv Israel
Stroke Unit Department of Neuroscience San Camillo Forlanini Hospital Rome Italy
Citace poskytuje Crossref.org
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