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Title: CODE STROKE ALERT-Concept and Development of a Novel Open-Source Platform to Streamline Acute Stroke Management.
Austin Authors: Seah, Huey Ming;Burney, Moe;Phan, Michael;Shell, Daniel;Wu, Jamin;Zhou, Kevin;Brooks, Owen;Coulton, Bronwyn;Maingard, Julian;Tang, Jennifer;Yazdabadi, Gohar;Tahayori, Bahman;Barras, Christen;Kok, Hong Kuan;Chandra, Ronil;Thijs, Vincent N ;Brooks, Duncan Mark ;Asadi, Hamed 
Affiliation: Deloitte, Sydney, NSW, Australia
Interventional Neuroradiology Service, Department of Radiology, Austin Health, Heidelberg, Victoria, Australia
Neurointerventional Service - Department of Radiology, Monash Health, Clayton, Victoria, Australia
Department of Neurology, Austin Health, Heidelberg, Victoria, Australia
School of Medicine, The University of Melbourne, Parkville, Victoria, Australia
Stroke Division, The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, Victoria, Australia
School of Medicine, Monash University, Clayton, Victoria, Australia
Department of Neurology, Monash Health, Clayton, Victoria, Australia
School of Medicine, Deakin University, Waurn Ponds, Victoria, Australia
Department of Radiology, Northern Health, Epping, Victoria, Australia
South Australian Health and Medical Research Institute, Adelaide, SA, Australia
Department of Engineering, Monash University, Clayton, Victoria, Australia
Alcohol Beverages Australia, Sydney, NSW, Australia
Issue Date: 31-Jul-2019 2019-07-31
Publication information: Frontiers in neurology 2019; 10: 725
Abstract: Introduction: Effective, time-critical intervention in acute stroke is crucial to mitigate mortality rate and morbidity, but delivery of reperfusion treatments is often hampered by pre-, in-, or inter-hospital system level delays. Disjointed, repetitive, and inefficient communication is a consistent contributor to avoidable treatment delay. In the era of rapid reperfusion therapy for ischemic stroke, there is a need for a communication system to synchronize the flow of clinical information across the entire stroke journey. Material/Methods: A multi-disciplinary development team designed an electronic communications platform, integrated between web browsers and a mobile application, to link all relevant members of the stroke treatment pathway. The platform uses tiered notifications, geotagging, incorporates multiple clinical score calculators, and is compliant with security regulations. The system safely saves relevant information for audit and research. Results: Code Stroke Alert is a platform that can be accessed by emergency medical services (EMS) and hospital staff, coordinating the flow of information during acute stroke care, reducing duplication, and error in clinical information handover. Electronic data logs provide an auditable trail of relevant quality improvement metrics, facilitating quality improvement, and research. Discussion: Code Stroke Alert will be freely available to health networks globally. The open-source nature of the software offers valuable potential for future development of plug-ins and add-ons, based on individual institutional needs. Prospective, multi-site implementation, and measurement of clinical impact are underway.
DOI: 10.3389/fneur.2019.00725
ORCID: 0000-0001-8958-2411
Journal: Frontiers in neurology
PubMed URL: 31417478
ISSN: 1664-2295
Type: Journal Article
Subjects: communication platform
endovascular clot retrieval
mechanical thrombectomy
Appears in Collections:Journal articles

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