SynthesisBMC medical informatics and decision making2013
The challenges of implementing a telestroke network: a systematic review and case study.
Synthesis in BMC medical informatics and decision making, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.Implementation science : IS · 2018Pooled it
- Telemedicine Devices in Prehospital Trauma Care: A Scoping Review of Telemedical Actions, Clinical Utilities and Implementation Barriers.Journal of medical systems · 2026Article
- Shaping the Future of DHT Assessment: Insights on Industry Challenges, Developer Needs, and a Harmonized, European HTA Framework.Journal of market access & health policy · 2025Article
- Systematic Development of the ReWin Application: A Digital Therapeutic Rehabilitation Innovation for People With Stroke-related Disabilities in India.JMIR rehabilitation and assistive technologies · 2022Article
- Stroke care networks and the impact on quality of care.Health care management science · 2022Article
- Improving stroke care in Nova Scotia, Canada: a population-based project spanning 14 years.BMJ open quality · 2021Article
- Building cohesion in distributed telemedicine teams: findings from the Department of Veterans Affairs National Telestroke Program.BMC health services research · 2021Article
- Review of Systematic Reviews in the Field of Telemedicine.Medical journal of the Islamic Republic of Iran · 2021Article
- Implementation Strategies for Telestroke: A Qualitative Study of Telestroke Networks in North Carolina.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2019Article
- Integrating acute stroke telemedicine consultations into specialists' usual practice: a qualitative analysis comparing the experience of Australia and the United Kingdom.BMC health services research · 2017Article
- Interactive social media interventions to promote health equity: an overview of reviews.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2016Review
- 'It was like he was in the room with us': patients' and carers' perspectives of telemedicine in acute stroke.Health expectations : an international journal of public participation in health care and health policy · 2016Article
- Monte Carlo Simulation Modeling of a Regional Stroke Team's Use of Telemedicine.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2016Article
- A qualitative description of telemedicine for acute stroke care in Norway: technology is not the issue.BMC health services research · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
Abstract
backgroundThe use of telemedicine in acute stroke care can facilitate rapid access to treatment, but the work required to embed any new technology into routine practice is often hidden, and can be challenging. We aimed to collate recommendations and resources to support telestroke implementation.
methodsSystematic search of healthcare databases and the Internet to identify descriptions of the implementation of telestroke projects; interviews with key stakeholders during the development of one UK telestroke network. Supporting documentation from existing projects was analysed to construct a framework of implementation stages and tasks, and a toolkit of documents. Interviews and literature were analysed with other data sources using Normalisation Process Theory as described in the e-Health Implementation Toolkit.
results61 telestroke projects were identified and contacted. Twenty projects provided documents, 13 with published research detailing four stages of telestroke system development, implementation, use, and evaluation. Interviewees identified four main challenges: engaging and maintaining the commitment of a wide range of stakeholders across multiple organisations; addressing clinicians perceptions of evidence, workload, and payback; managing clinical and technical workability across diverse settings; and monitoring how the system is used and reconfigured by users.
conclusionsInformation to guide telestroke implementation is sparse, but available. By using multiple sources of data, sufficient information was collated to construct a web-based toolkit detailing implementation tasks, resources and challenges in the development of a telestroke system for assessment and thrombolysis delivery in acute care. The toolkit is freely available online.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.