Affiliation:
1. Admission Department; Kazan State Medical Academy – Branch Campus of Russian Medical Academy of Continuous Professional Education
2. Emergency Care Hospital
Abstract
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.
Publisher
The Scientific and Practical Society of Emergency Medicine Physicians
Reference7 articles.
1. Mensah Abrampah N, Syed SB, Hirschhorn LR, Nambiar B, Iqbal U, Garcia-Elorrio E, et al. Quality improvement and emerging global health priorities. Int J Qual Health Care. 2018,30(S1):5–9. PMID: 29873793 https://doi.org/10.1093/intqhc/mzy007
2. Joint Commission International Accreditation Standards for Hospitals Including Standards for Academic Medical Center Hospitals. 7th ed. 2020 at:https://www.jointcommissioninternational.org/-/media/jci/ jci-documents/accreditation/hospital-and-amc/jci-errata-standardsonly_7th-ed-hospital.pdf [Accessed Feb 21, 2023] (Rus. Ed.: Ivanov IV, et al. (tr.). Standarty akkreditatsii Joint Commission International dlya statsionarov. Vklyuchaya standarty dlya meditsinskikh organizatsiy, osushchestvlyayushchikh nauchnuyu deyatel’nost’ i prakticheskuyu podgotovku obuchayushchikhsya. 7th ed. Moscow, 2020).
3. Dahrouge S, Armstrong CD, Hogg W, Singh J, Liddy C. High-performing physicians are more likely to participate in a research study: findings from a quality improvement study. BMC Med Res Methodol. 2019;19(1):171. https://doi.org/10.1186/s12874-019-0809-6
4. Bord S, Sass I, Hayms G, Moskowitz K, Baruch H, Basis F. Involvement and skepticism towards the JCI Accreditation process among hospital’s four sectors employees: suggestions for cultural change. Isr J Health Policy Res. 2021;10(1):74. PMID: 34906237 https://doi.org/10.1186/ s13584-021-00507-4
5. Pourmohammadi K, Hatam N, Shojaei P, Bastani P. A comprehensive map of the evidence on the performance evaluation indicators of public hospitals: a scoping study and best ft framework synthesis. Cost Ef Resour Alloc. 2018;16:64. PMID: 30534009 https://doi.org/10.1186/ s12962-018-0166-z
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