10.3389/fneur.2019.00969.s001
Ferdinand O. Bohmann
Ferdinand O.
Bohmann
Natalia Kurka
Natalia
Kurka
Richard du Mesnil de Rochemont
Richard du Mesnil
de Rochemont
Katharina Gruber
Katharina
Gruber
Joachim Guenther
Joachim
Guenther
Peter Rostek
Peter
Rostek
Heike Rai
Heike
Rai
Philipp Zickler
Philipp
Zickler
Michael Ertl
Michael
Ertl
Ansgar Berlis
Ansgar
Berlis
Sven Poli
Sven
Poli
Annerose Mengel
Annerose
Mengel
Peter Ringleb
Peter
Ringleb
Simon Nagel
Simon
Nagel
Johannes Pfaff
Johannes
Pfaff
Frank A. Wollenweber
Frank A.
Wollenweber
Lars Kellert
Lars
Kellert
Moriz Herzberg
Moriz
Herzberg
Luzie Koehler
Luzie
Koehler
Karl Georg Haeusler
Karl Georg
Haeusler
Anna Alegiani
Anna
Alegiani
Charlotte Schubert
Charlotte
Schubert
Caspar Brekenfeld
Caspar
Brekenfeld
Christopher E. J. Doppler
Christopher E. J.
Doppler
Oezguer A. Onur
Oezguer A.
Onur
Christoph Kabbasch
Christoph
Kabbasch
Tanja Manser
Tanja
Manser
Waltraud Pfeilschifter
Waltraud
Pfeilschifter
STREAM Trial Investigators
STREAM Trial
Investigators
Table_1_Simulation-Based Training of the Rapid Evaluation and Management of Acute Stroke (STREAM)—A Prospective Single-Arm Multicenter Trial.DOCX
Frontiers
2019
CRM
thrombolysis (tPA)
stroke
emergency care
simulation training
2019-09-11 04:26:20
Dataset
https://frontiersin.figshare.com/articles/dataset/Table_1_Simulation-Based_Training_of_the_Rapid_Evaluation_and_Management_of_Acute_Stroke_STREAM_A_Prospective_Single-Arm_Multicenter_Trial_DOCX/9797150
<p>Introduction: Acute stroke care delivered by interdisciplinary teams is time-sensitive. Simulation-based team training is a promising tool to improve team performance in medical operations. It has the potential to improve process times, team communication, patient safety, and staff satisfaction. We aim to assess whether a multi-level approach consisting of a stringent workflow revision based on peer-to-peer review and 2–3 one-day in situ simulation trainings can improve acute stroke care processing times in high volume neurocenters within a 6 months period.</p><p>Methods and Analysis: The trial is being carried out in a pre-test-post-test design at 7 tertiary care university hospital neurocenters in Germany. The intervention is directed at the interdisciplinary multiprofessional stroke teams. Before and after the intervention, process times of all direct-to-center stroke patients receiving IV thrombolysis (IVT) and/or endovascular therapy (EVT) will be recorded. The primary outcome measure will be the “door-to-needle” time of all consecutive stroke patients directly admitted to the neurocenters who receive IVT. Secondary outcome measures will be intervention-related process times of the fraction of patients undergoing EVT and effects on team communication, perceived patient safety, and staff satisfaction via a staff questionnaire.</p><p>Interventions: We are applying a multi-level intervention in cooperation with three “STREAM multipliers” from each center. First step is a central meeting of the multipliers at the sponsor's institution with the purposes of algorithm review in a peer-to-peer process that is recorded in a protocol and an introduction to the principles of simulation training and debriefing as well as crew resource management and team communication. Thereafter, the multipliers cooperate with the stroke team trainers from the sponsor's institution to plan and execute 2–3 one-day simulation courses in situ in the emergency department and CT room of the trial centers whereupon they receive teaching materials to perpetuate the trainings.</p><p>Clinical Trial Registration: STREAM is a registered trial at https://clinicaltrials.gov/ct2/show/NCT03228251.</p>