Bohmann, Ferdinand O., Kurka, Natalia, de Rochemont, Richard du Mesnil, Gruber, Katharina, Guenther, Joachim, Rostek, Peter, Rai, Heike, Zickler, Philipp ORCID: 0000-0002-2852-7360, Ertl, Michael, Berlis, Ansgar, Poli, Sven, Mengel, Annerose, Ringleb, Peter, Nagel, Simon, Pfaff, Johannes, Wollenweber, Frank A., Kellert, Lars, Herzberg, Moriz, Koehler, Luzie, Haeusler, Karl Georg, Alegiani, Anna, Schubert, Charlotte, Brekenfeld, Caspar, Doppler, Christopher E. J., Onur, Oezguer A., Kabbasch, Christoph, Manser, Tanja, Pfeilschifter, Waltraud, Alotaibi, Mohammad, Batarfi, AbdulAziz, Brandhofe, Annemarie, Kestner, Roxane-Isabelle, Schaefer, Jan Hendrik, Schaller, Martin Alexander, Seiler, Alexander, Wallenwein, Stephanie, Willems, Laurent M., Steinmetz, Helmuth, Hattingen, Elke ORCID: 0000-0002-8392-9004, Kos, Zeljko, Naumann, Markus, Blum, Corinna, Bombach, Paula, Zeller, Julia, Gumbinger, Christoph, Regula, Jens, Horstmann, Solveig, Heyse, Miriam, Dorozewski, Eva, Lamentner, Christian, I, Tilman, Reiff, Schieber, Simon, Mundiyanapurath, Sibu, Schoenenberger, Silvia, Mokli, Yahia, Moehlenbruch, Markus, Bewersdorf, Jan, Einhaeupl, Maximilian, Feil, Katharina, Klein, Matthias ORCID: 0000-0001-9064-6865, Moehwald, Ken, Muehlbauer, Konstanze, Mulazzani, Mathias, Rohrer, Guido, Schoenedcer, Sonja, Dorn, Franziska ORCID: 0000-0001-9093-8307, Mennemeyer, Philipp, Sandner, Torleif, Huber, Brigitte, Hill, Julia, Gavran, Jela, Audebert, Heinrich, Geran, Rohat, Schurig, Johannes, Lerm, Juliane, I, Kleefeld, Felix, Schoknecht, Karl, Jadranka, Denes, Brade, Kirsten, Wittenberg, Tatjana, Mayer-Runge, Ulrich, Bester, Maxim, Schoenfeld, Michael H., Flottmann, Fabian, Prilop, Lisa, Leischner, Iannes, Froelich, Andreas Maximilian, Roesner, Sabine, Broocks, Gabriel, Hanning, Uta, Guder, Stephanie, Bechstein, Matthias, Lange, Carmen, Kautz, Sebastian, Higgen, Focko L., Kyselyova, Anna, Thomalla, Goetz, Fiehler, Jens, Fink, Gereon Rudolf, Bonkhoff, Anna, Dronse, Julian, Kirsch, Katharina, Laurent, Sarah, von Reutern, Boris, Rosen, Jurij, Volz, Lukas, Werner, Jan-Michael, Woking, Michael, Seliger, Robert, Yildirim, Abdulkadir, Schlamann, Marc and Borggrefe, Jan ORCID: 0000-0003-2908-7560 (2019). Simulation-Based Training of the Rapid Evaluation and Management of Acute Stroke (STREAM)-A Prospective Single-Arm Multicenter Trial. Front. Neurol., 10. LAUSANNE: FRONTIERS MEDIA SA. ISSN 1664-2295

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Abstract

Introduction: Acute stroke care delivered by interdisciplinary teams is time-sensitive. Simulation-based team training is a promising tool to improve team performance in medical operations. It has the potential to improve process times, team communication, patient safety, and staff satisfaction. We aim to assess whether a multi-level approach consisting of a stringent workflow revision based on peer-to-peer review and 2-3 one-day in situ simulation trainings can improve acute stroke care processing times in high volume neurocenters within a 6 months period. Methods and Analysis: The trial is being carried out in a pre-test-post-test design at 7 tertiary care university hospital neurocenters in Germany. The intervention is directed at the interdisciplinary multiprofessional stroke teams. Before and after the intervention, process times of all direct-to-center stroke patients receiving IV thrombolysis (IVT) and/or endovascular therapy (EVT) will be recorded. The primary outcome measure will be the door-to-needle time of all consecutive stroke patients directly admitted to the neurocenters who receive IVT. Secondary outcome measures will be intervention-related process times of the fraction of patients undergoing EVT and effects on team communication, perceived patient safety, and staff satisfaction via a staff questionnaire. Interventions: We are applying a multi-level intervention in cooperation with three STREAM multipliers from each center. First step is a central meeting of the multipliers at the sponsor's institution with the purposes of algorithm review in a peer-to-peer process that is recorded in a protocol and an introduction to the principles of simulation training and debriefing as well as crew resource management and team communication. Thereafter, the multipliers cooperate with the stroke team trainers from the sponsor's institution to plan and execute 2-3 one-day simulation courses in situ in the emergency department and CT room of the trial centers whereupon they receive teaching materials to perpetuate the trainings.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Bohmann, Ferdinand O.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kurka, NataliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Rochemont, Richard du MesnilUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gruber, KatharinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Guenther, JoachimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rostek, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rai, HeikeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zickler, PhilippUNSPECIFIEDorcid.org/0000-0002-2852-7360UNSPECIFIED
Ertl, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Berlis, AnsgarUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Poli, SvenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mengel, AnneroseUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ringleb, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nagel, SimonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pfaff, JohannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wollenweber, Frank A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kellert, LarsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Herzberg, MorizUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koehler, LuzieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haeusler, Karl GeorgUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Alegiani, AnnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schubert, CharlotteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brekenfeld, CasparUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Doppler, Christopher E. J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Onur, Oezguer A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kabbasch, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Manser, TanjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pfeilschifter, WaltraudUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Alotaibi, MohammadUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Batarfi, AbdulAzizUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brandhofe, AnnemarieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kestner, Roxane-IsabelleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schaefer, Jan HendrikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schaller, Martin AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Seiler, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wallenwein, StephanieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Willems, Laurent M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Steinmetz, HelmuthUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hattingen, ElkeUNSPECIFIEDorcid.org/0000-0002-8392-9004UNSPECIFIED
Kos, ZeljkoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Naumann, MarkusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Blum, CorinnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bombach, PaulaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zeller, JuliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gumbinger, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Regula, JensUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Horstmann, SolveigUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heyse, MiriamUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dorozewski, EvaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lamentner, Christian, IUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tilman, ReiffUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schieber, SimonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mundiyanapurath, SibuUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schoenenberger, SilviaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mokli, YahiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Moehlenbruch, MarkusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bewersdorf, JanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Einhaeupl, MaximilianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Feil, KatharinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klein, MatthiasUNSPECIFIEDorcid.org/0000-0001-9064-6865UNSPECIFIED
Moehwald, KenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Muehlbauer, KonstanzeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mulazzani, MathiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rohrer, GuidoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schoenedcer, SonjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dorn, FranziskaUNSPECIFIEDorcid.org/0000-0001-9093-8307UNSPECIFIED
Mennemeyer, PhilippUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sandner, TorleifUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Huber, BrigitteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hill, JuliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gavran, JelaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Audebert, HeinrichUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Geran, RohatUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schurig, JohannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lerm, Juliane, IUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kleefeld, FelixUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schoknecht, KarlUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jadranka, DenesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brade, KirstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wittenberg, TatjanaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mayer-Runge, UlrichUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bester, MaximUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schoenfeld, Michael H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Flottmann, FabianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Prilop, LisaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Leischner, IannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Froelich, Andreas MaximilianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Roesner, SabineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Broocks, GabrielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hanning, UtaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Guder, StephanieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bechstein, MatthiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lange, CarmenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kautz, SebastianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Higgen, Focko L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kyselyova, AnnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thomalla, GoetzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fiehler, JensUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fink, Gereon RudolfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bonkhoff, AnnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dronse, JulianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kirsch, KatharinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Laurent, SarahUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
von Reutern, BorisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rosen, JurijUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Volz, LukasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Werner, Jan-MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Woking, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Seliger, RobertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Yildirim, AbdulkadirUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schlamann, MarcUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Borggrefe, JanUNSPECIFIEDorcid.org/0000-0003-2908-7560UNSPECIFIED
URN: urn:nbn:de:hbz:38-141519
DOI: 10.3389/fneur.2019.00969
Journal or Publication Title: Front. Neurol.
Volume: 10
Date: 2019
Publisher: FRONTIERS MEDIA SA
Place of Publication: LAUSANNE
ISSN: 1664-2295
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
TO-NEEDLE TIMES; RESOURCE-MANAGEMENT; ISCHEMIC-STROKE; IMPLEMENTATION; OUTCOMES; MINUTES; THERAPY; PROGRAM; SAFETY; TRENDSMultiple languages
Clinical Neurology; NeurosciencesMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/14151

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