Improving the Provision of Medical Care to Patients With Stroke Using JCI Standards. First Results
AIM OF THE STUDY To compare the dynamics of thrombolytic therapy effectiveness in patients with stroke after the reorganization of medical care using JCI standards.MATERIAL AND METHODS In 2022, a new system for routing patients with stroke at the level of the emergency department was introduced in t...
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| Format: | Article |
| Language: | Russian |
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Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2023-04-01
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| Series: | Неотложная медицинская помощь |
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| Online Access: | https://www.jnmp.ru/jour/article/view/1581 |
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| author | R. Sh. Khasanov A. V. Shulaev M. F. Mukhamadeev R. A. Dzhumabaev Yu. S. Mukhamadieva B. I. Zagidullin R. M. Yakhin |
| author_facet | R. Sh. Khasanov A. V. Shulaev M. F. Mukhamadeev R. A. Dzhumabaev Yu. S. Mukhamadieva B. I. Zagidullin R. M. Yakhin |
| author_sort | R. Sh. Khasanov |
| collection | DOAJ |
| description | AIM OF THE STUDY To compare the dynamics of thrombolytic therapy effectiveness in patients with stroke after the reorganization of medical care using JCI standards.MATERIAL AND METHODS In 2022, a new system for routing patients with stroke at the level of the emergency department was introduced in the Emergency Care Hospital; and 976 patients with the diagnosis of brain infarction were treated. The analysis of the results was carried out by comparing the mortality rates from ischemic stroke, the number of thrombolytic therapies and procedures of mechanical methods of revascularization, as well as the indicators “Door-CT”, “DoorNeedle”, “Door-Opening” for 2021 and 10 months of 2022.RESULTS After the introduction of the new routing system for patients with stroke at the emergency department level, there appeared the first positive results. Thus, the mortality rate from brain infarction in 10 months of 2022 decreased by 5.6% compared to 2021. The number of thrombolytic therapies performed increased by 5.2%, and mechanical revascularization procedures by 1.62% over the same period, while the “Door-CT” indicator decreased by 27 minutes, “DoorNeedle” by 22 minutes, “Door-Opening” by 31.6 minutes.CONCLUSIONS The immediate results of the introduction of the new patient routing system at the level of the emergency department have proved successful, primarily due to the significant reduction in the mortality rate of patients with cerebral infarction by 5.6%. However, the process requires further investigation and has application points for further improvement. |
| format | Article |
| id | doaj-art-8272ec969db54fadaa96f406bc7b16f5 |
| institution | Kabale University |
| issn | 2223-9022 2541-8017 |
| language | Russian |
| publishDate | 2023-04-01 |
| publisher | Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department |
| record_format | Article |
| series | Неотложная медицинская помощь |
| spelling | doaj-art-8272ec969db54fadaa96f406bc7b16f52025-08-20T03:35:36ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172023-04-0112114014410.23934/2223-9022-2023-12-1-140-144843Improving the Provision of Medical Care to Patients With Stroke Using JCI Standards. First ResultsR. Sh. Khasanov0A. V. Shulaev1M. F. Mukhamadeev2R. A. Dzhumabaev3Yu. S. Mukhamadieva4B. I. Zagidullin5R. M. Yakhin6Admission Department; Kazan State Medical Academy – Branch Campus of Russian Medical Academy of Continuous Professional EducationEmergency Care HospitalEmergency Care HospitalEmergency Care HospitalEmergency Care HospitalEmergency Care HospitalEmergency Care HospitalAIM OF THE STUDY To compare the dynamics of thrombolytic therapy effectiveness in patients with stroke after the reorganization of medical care using JCI standards.MATERIAL AND METHODS In 2022, a new system for routing patients with stroke at the level of the emergency department was introduced in the Emergency Care Hospital; and 976 patients with the diagnosis of brain infarction were treated. The analysis of the results was carried out by comparing the mortality rates from ischemic stroke, the number of thrombolytic therapies and procedures of mechanical methods of revascularization, as well as the indicators “Door-CT”, “DoorNeedle”, “Door-Opening” for 2021 and 10 months of 2022.RESULTS After the introduction of the new routing system for patients with stroke at the emergency department level, there appeared the first positive results. Thus, the mortality rate from brain infarction in 10 months of 2022 decreased by 5.6% compared to 2021. The number of thrombolytic therapies performed increased by 5.2%, and mechanical revascularization procedures by 1.62% over the same period, while the “Door-CT” indicator decreased by 27 minutes, “DoorNeedle” by 22 minutes, “Door-Opening” by 31.6 minutes.CONCLUSIONS The immediate results of the introduction of the new patient routing system at the level of the emergency department have proved successful, primarily due to the significant reduction in the mortality rate of patients with cerebral infarction by 5.6%. However, the process requires further investigation and has application points for further improvement.https://www.jnmp.ru/jour/article/view/1581strokebrain infarctionquality managementjcineurology |
| spellingShingle | R. Sh. Khasanov A. V. Shulaev M. F. Mukhamadeev R. A. Dzhumabaev Yu. S. Mukhamadieva B. I. Zagidullin R. M. Yakhin Improving the Provision of Medical Care to Patients With Stroke Using JCI Standards. First Results Неотложная медицинская помощь stroke brain infarction quality management jci neurology |
| title | Improving the Provision of Medical Care to Patients With Stroke Using JCI Standards. First Results |
| title_full | Improving the Provision of Medical Care to Patients With Stroke Using JCI Standards. First Results |
| title_fullStr | Improving the Provision of Medical Care to Patients With Stroke Using JCI Standards. First Results |
| title_full_unstemmed | Improving the Provision of Medical Care to Patients With Stroke Using JCI Standards. First Results |
| title_short | Improving the Provision of Medical Care to Patients With Stroke Using JCI Standards. First Results |
| title_sort | improving the provision of medical care to patients with stroke using jci standards first results |
| topic | stroke brain infarction quality management jci neurology |
| url | https://www.jnmp.ru/jour/article/view/1581 |
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