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Operational research seeks benefit for stroke victims
Date:2/15/2012

t, and the 'busy-ness' of the various hospital departments involved in the treatment process.

Their analysis of over 1400 episodes of care has enabled them to identify the bottlenecks in the system, and take steps to speed up the process of emergency care which can lead to earlier clot-busting treatment. The researchers estimate that the number of people whose stroke could be greatly improved by earlier treatment could treble.

The research has already led to the introduction of a pilot for early referral to the acute stroke team at the moment the ambulance arrives at the ED. The pilot was introduced in December 2011 and early figures already show that the changes have led to a doubling of the number of patients admitted with acute stroke receiving clot-busting treatment within the three hour window (the national average is just five per cent: the national target is 10 per cent).

The research team is currently working on a thorough evaluation of the pilot scheme, as well as developing a mobile phone referral method that ambulance crews can use to inform the stroke team that a patient is on their way so reducing the time the patient spends in the ED before receiving thrombolysis.

Professor Stuart Logan, Director of PenCLAHRC, commented: "This project shows just how powerful close collaboration between academics, clinicians and managers can improve patient outcome. Research can sometimes feel like a luxury, this is the kind of work that reminds us of why with proper partnerships can have immediate impact. We look forward to the next stages of the study, which has the potential for major impact nationally and internationally."

Dr Martin James, Consultant Physician and Lead Clinician for Stroke at the RD&E said: "Our work with academic researchers in PenCHORD to build the computer simulation has been a great example of the NHS collaborating with Universities to improve care. Using the simulation has enabled us to ident
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Contact: Andrew Gould
andrew.gould@pcmd.ac.uk
139-268-6107
The Peninsula College of Medicine and Dentistry
Source:Eurekalert

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