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This report provides findings from a cross-sectional survey of community HF services in the UK between September 2021 and February 2022. Community services were primarily led by a HF specialist nurse (HFSN), with a median of 1.25 cardiology consultants with HF training, and a variety of other nurses and support workers.
Time is of the essence - this is one phrase every emergency department (ED) nurse knows. The development and implementation of the Flow and Resuscitation (Resus) registered nurse (RN) roles supports our goal of getting the patient to the right place at the right time. The Flow nurse was made effective throughout the network in 2023.
Background and Purpose:In 2023, High Point Medical Center implemented a quality improvement initiative to enhance outcomes for hospitalized patients experiencing strokes. An interdisciplinary initiative was launched that engaged stakeholders from patient safety, the stroke team, and nursing education.
Background:Timely efficient thrombolytic administration has been associated with better clinical outcome in acute ischemic stroke patients. Our previous code stroke processes included initial evaluation by the triage nurse, followed by rooming and transferring the patient from triage to the ED room, and then to the CT suite.
Health systems may fail to provide screening and follow up for PSA.Methods:Stroke survivors between 10/2022-3/2023 received a phone call from an SCRN to assess anxiety and depression within 30-45 days of discharge using General Anxiety Disorder (GAD-7) and Patient Health Questionnaire (PHQ-9) respectively.
Providing educational resources within these populations may help to close these gaps and foster trust in the healthcare system. We will partner with our Community Outreach department. We will identify educational venues and stakeholders among African American and Hispanic populations in these zip codes.
We aimed to identify factors contributing to neuroscience (neurology or neurosurgery) appointment attendance and the impact on readmission and 90-day function outcomes.Methods:Retrospective analysis of hemorrhagic stroke patients with care coordinated by a stroke nurse navigator from one of seven hospitals between January 2022 and March 2024.
The code LVO alerts the endovascular surgeon and team earlier in the stroke alert process with the goal of improving patient outcomes. The code LVO can be activated either as a prehospital alert or in the emergency department by either the provider or nurse.
Nearly 20 years ago, the Acute Decompensated Heart Failure National Registry (ADHERE) was published[1] and described inpatient HF treatment patterns and decongestion outcomes in a prospective national database of HF hospitalizations across 275 community and academic medical centers. Reprieve is committed to building these partnerships.”
We evaluated whether TMIs added to usual care could reduce HFrelated rehospitalizations in patients discharged from hospitals in Brazil.MethodsA randomized clinical trial was conducted in 6 public hospitals from September 2021 to June 2022. The nurse was linked to a cardiologist for teleconsultations, according to predefined decision trees.
Alteplase was the standardized thrombolytic until 2022. The transition from Alteplase to Tenecteplase for AIS patients eligible for thrombolysis occurred on June 6, 2022. Nurses were provided with dosing table and care instruction badge backers. The legal department approved as our new standard of care for AIS.
as partner.Methods:The three-year project was launched in May 2021, during first year all specialties and professionals participated in the development and planning of the project and were trained in the use of the devices and own digital platform.First STRACK patient was enrolled in May 2022.
It’s a multidisciplinary approach involving nurses, doctors, physiotherapists, dieticians, psychologists and many others. Evolocumab and Clinical Outcomes in Patients with Cardiovascular Disease. JACC Volume 79, Issue 17 , 3 May 2022, Pages 1690-1700 9 Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes.
The complications of the procedure and patient’s outcomes were discussed.MethodsWe identified two patients who were admitted to our medical center between January 2022 to December 2022 for subclavian‐carotid artery bypass procedure. Clinical data were reviewed retrospectively.ResultsCase 1.
Initial documentation by nursing began August 2021, and initial documentation compliance of pre-stroke and discharge mRS had not risen above 82%.Methods:A The change was implemented on September 15, 2022.Results:Supplementing They identified 6 steps to complete this process. Documentation compliance reached 100% by March of 2023.Conclusion:Physical
Background:Door-to-thrombolytic therapy time is critical in acute stroke management, affecting treatment effectiveness and patient outcomes. Enhancing processes to minimize this time is essential for improving patient outcomes. Since 2022, our door-to-IV thrombolytic time has remained stagnant. technologist. reduction in time.
This is particularly important for emergency department and interventional radiology nurses who are the ones driving transition of care between departments. Future data collection should focus on associating these improved DTD times with long term functional outcomes. This allows for earlier mobilization of resources.
Both thrombolytic agents require a Physician's order and reconstitution by a certified Pharmacist or Registered Nurse prior to administration. Our academic comprehensive stroke center transitioned from Alteplase to Tenecteplase as standard thrombolysis for acute ischemic stroke in November 2022. Alteplase vs 53.09
Blog Introducing New Technology to an Institution jbagley Wed, 03/02/2022 - 11:15 Innovation and new technology are essential to the progress of any specialty. Within cardiothoracic surgery, the development of cardiopulmonary bypass in the 1950s was critical for shaping our field with new operations and improved patient outcomes.
DESTINY is a screening tool developed as a single tool to screen for all stroke subtypes.Methods:This study is a phase II prospective 2-part adaptive design validation study of DESTINY in the ED during the early triage of suspected stroke patients from 05/01/2022 to 08/08/2022. Secondary outcome included stroke performance measures.
DESTINY was developed as a single tool to screen for all stroke subtypes.Methods:This study is a Phase II prospective two part adaptive design validation study of DESTINY in ED during the early triage of suspected stroke patients from 05/01/2022 to 08/08/2022.
The intervention program for feeding practices was primarily carried out by ward nurses. Outcomes were compared between an intervention group of 28 patients and a historical control group of 33 patients recruited between Jan 2021 to Jul 2022. It consisted of thickener preparation and feeding patients skills training.
Methods:Data from adult patients who discharged from two medical centers in Portland, OR in 2019 or between January 2022 and May 2023 were abstracted from electronic medical records. This study aims to evaluate whether NIHSS, AMPAC or total rehab duration while hospitalized predicts DD or length of stay (LOS).Methods:Data
Nursing, radiology, and pharmacy leadership across the region participate in regional stroke and quality committees.Methods:Clinical education for FSED staff aligns with hospital-based EDs but includes competencies related to lack of ancillary services at the FSEDs.
Introduction:Timeliness of treatment for patients with acute ischemic stroke (AIS) directly correlates with outcomes. Earlier treatment is associated with better outcomes at 90 days. The most current AHA guidelines standard of care for patients having a large vessel occlusion (LVO) stroke is endovascular mechanical thrombectomy (MT).
In 2021, several cardiology pilot units were selected and neuroscience nurse specialists conducted staff education which focused on recognition of stroke signs and symptoms, code activation criteria and response time targets. In 2021-2022, 54% of stroke codes were called within 10 minutes of symptoms discovery. of patients.
Twelve patients were either discharged home or to a nursing facility with the temporary external pacemaker until completion of antibiotic treatment and re-implantation of a new permanent pacemaker [1]. Temporary-permanent pacemakers are associated with better clinical and safety outcomes compared to balloon-tipped temporary pacemakers.
She contacted her neighbor, a nurse, for help. We have shown that morphine is associated with worse outcomes (see learning points below) and have published many blog posts about it , such as this one: Another myocardial wall is sacrificed at the altar of the STEMI/NonSTEMI mass delusion (and Opiate pain relief). link] Milosevic, A.,
In 2022, I received a call from a friend who said she had an open role that would fit me perfectly. This program was unique because it placed nurses in hospitals to work with patients to create post discharge plans and reduce readmissions. We worked tirelessly to design and implement a program in record time.
There were GPs who simply refused to visit elderly residents in nursing homes. On my patch this was all GPs and all nursing homes. The only outcome that really matters. I think another thing that stands out is the sudden and sharp rise in mortality in November 2022. Here is the abstract of an article from 2022.
Background:The structure of the stroke care delivery system in rural South Carolina has been changed by the Medical University of South Carolina tele-stroke program with >40 spoke sites with improved treatment times and outcomes overall. vs 60.4%, (p<0.001) and more females were discharged to nursing home (8.1%
Background:The structure of the stroke care delivery system in rural South Carolina has been changed by the Medical University of South Carolina tele-stroke program with >40 spoke sites with improved treatment times and outcomes overall. vs 60.4%, (p<0.001) and more females were discharged to nursing home (8.1%
They matter because their member bases are growing fast, and they’re driving both better outcomes and lower costs. As of January 2022, there are 483 Medicare ACOs serving over 11 million beneficiaries across the country (per the National Associations of ACOs).
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