ArticlePloS one2017
Implementation of stroke teams and simulation training shortened process times in a regional stroke network-A network-wide prospective trial.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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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.
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Who cites it
18 citing papers in PubMed, 32 citations in OpenAlex.
- Reducing Door-to-Puncture Time with a Streamlined MRI-First Workflow for Endovascular Thrombectomy.Journal of neuroendovascular therapy · 2026Article
- BRAIN-SIM: Leveraging Simulation for Neurocritical Care Education with an Innovative Multidisciplinary Approach.Journal of intensive care medicine · 2025Article
- Article
- Impact of the drip-and-ship model on the treatment of acute ischemic stroke in relation to distance from the thrombectomy center.Frontiers in neurology · 2025Article
- Implementation and sustainment of virtual reality stroke workflow training for physician trainees at comprehensive stroke centres: a quantitative and qualitative study.BMC medical education · 2024Article
- Does clinical experience influence the effects of team simulation training in stroke thrombolysis? A prospective cohort study.BMJ open · 2024Article
- Evaluating the effects of simulation training on stroke thrombolysis: a systematic review and meta-analysis.Advances in simulation (London, England) · 2024Article
- Rollout of a statewide Australian telestroke network including virtual reality training is associated with improved hyperacute stroke workflow metrics and thrombolysis rate.Frontiers in stroke · 2024Article
- TACTICS VR Stroke Telehealth Virtual Reality Training for Health Care Professionals Involved in Stroke Management at Telestroke Spoke Hospitals: Module Design and Implementation Study.JMIR serious games · 2023Article
- Metric based virtual simulation training for endovascular thrombectomy improves interventional neuroradiologists' simulator performance.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023Article
- Access to and application of recanalizing therapies for severe acute ischemic stroke caused by large vessel occlusion.Neurological research and practice · 2023Article
- Simulation-based team training improves door-to-needle time for intravenous thrombolysis.BMJ open quality · 2023Article
- Radio frequency identification technology reduce intravenous thrombolysis time in acute ischemic stroke.PloS one · 2023Article
- Article
- Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework.Frontiers in neurology · 2021Article
- Effectiveness of emergency physician determinations of the need for thrombolytic therapy in acute stroke.Proceedings (Baylor University. Medical Center) · 2019Article
- Simulation in Neurocritical Care: Past, Present, and Future.Neurocritical care · 2019Review
- Simulation-Based Training of the Rapid Evaluation and Management of Acute Stroke (STREAM)-A Prospective Single-Arm Multicenter Trial.Frontiers in neurology · 2019Article
Corrections and comments
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Authors and funding
20 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo meet the requirements imposed by the time-dependency of acute stroke therapies, it is necessary 1) to initiate structural and cultural changes in the breadth of stroke-ready hospitals and 2) to find new ways to train the personnel treating patients with acute stroke. We aimed to implement and validate a composite intervention of a stroke team algorithm and simulation-based stroke team training as an effective quality initiative in our regional interdisciplinary neurovascular network consisting of 7 stroke units.
methodsWe recorded door-to-needle times of all consecutive stroke patients receiving thrombolysis at seven stroke units for 3 months before and after a 2 month intervention which included setting up a team-based stroke workflow at each stroke unit, a train-the-trainer seminar for stroke team simulation training and a stroke team simulation training session at each hospital as well as a recommendation to take up regular stroke team trainings.
resultsThe intervention reduced the network-wide median door-to-needle time by 12 minutes from 43,0 (IQR 29,8-60,0, n = 122) to 31,0 (IQR 24,0-42,0, n = 112) minutes (p < 0.001) and substantially increased the share of patients receiving thrombolysis within 30 minutes of hospital arrival from 41.5% to 59.6% (p < 0.001). Stroke team training participants stated a significant increase in knowledge on the topic of acute stroke care and in the perception of patient safety. The overall course concept was regarded as highly useful by most participants from different professional backgrounds.
conclusionsThe composite intervention of a binding team-based algorithm and stroke team simulation training showed to be well-transferable in our regional stroke network. We provide suggestions and materials for similar campaigns in other stroke networks.
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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.