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Simulation-based training improves process times in acute stroke care (STREAM)

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Simulation-based training improves process times in acute stroke care (STREAM). / Bohmann, Ferdinand O; Gruber, Katharina; Kurka, Natalia; Willems, Laurent M; Herrmann, Eva; du Mesnil de Rochemont, Richard; Scholz, Peter; Rai, Heike; Zickler, Philipp; Ertl, Michael; Berlis, Ansgar; Poli, Sven; Mengel, Annerose; Ringleb, Peter; Nagel, Simon; Pfaff, Johannes; Wollenweber, Frank A; Kellert, Lars; Herzberg, Moriz; Koehler, Luzie; Haeusler, Karl Georg; Alegiani, Anna; Schubert, Charlotte; Brekenfeld, Caspar; Doppler, Christopher E J; Onur, Özgür A; Kabbasch, Christoph; Manser, Tanja; Steinmetz, Helmuth; Pfeilschifter, Waltraud; STREAM Trial Investigators.

in: EUR J NEUROL, Jahrgang 29, Nr. 1, 01.2022, S. 138-148.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Bohmann, FO, Gruber, K, Kurka, N, Willems, LM, Herrmann, E, du Mesnil de Rochemont, R, Scholz, P, Rai, H, Zickler, P, Ertl, M, Berlis, A, Poli, S, Mengel, A, Ringleb, P, Nagel, S, Pfaff, J, Wollenweber, FA, Kellert, L, Herzberg, M, Koehler, L, Haeusler, KG, Alegiani, A, Schubert, C, Brekenfeld, C, Doppler, CEJ, Onur, ÖA, Kabbasch, C, Manser, T, Steinmetz, H, Pfeilschifter, W & STREAM Trial Investigators 2022, 'Simulation-based training improves process times in acute stroke care (STREAM)', EUR J NEUROL, Jg. 29, Nr. 1, S. 138-148. https://doi.org/10.1111/ene.15093

APA

Bohmann, F. O., Gruber, K., Kurka, N., Willems, L. M., Herrmann, E., du Mesnil de Rochemont, R., Scholz, P., Rai, H., Zickler, P., Ertl, M., Berlis, A., Poli, S., Mengel, A., Ringleb, P., Nagel, S., Pfaff, J., Wollenweber, F. A., Kellert, L., Herzberg, M., ... STREAM Trial Investigators (2022). Simulation-based training improves process times in acute stroke care (STREAM). EUR J NEUROL, 29(1), 138-148. https://doi.org/10.1111/ene.15093

Vancouver

Bohmann FO, Gruber K, Kurka N, Willems LM, Herrmann E, du Mesnil de Rochemont R et al. Simulation-based training improves process times in acute stroke care (STREAM). EUR J NEUROL. 2022 Jan;29(1):138-148. https://doi.org/10.1111/ene.15093

Bibtex

@article{346893a8bd864f89b4e4d28200a8d633,
title = "Simulation-based training improves process times in acute stroke care (STREAM)",
abstract = "BACKGROUND: The objective of the STREAM Trial was to evaluate the effect of simulation training on process times in acute stroke care.METHODS: The multicenter prospective interventional STREAM Trial was conducted between 10/2017 and 04/2019 at seven tertiary care neurocenters in Germany with a pre- and post-interventional observation phase. We recorded patient characteristics, acute stroke care process times, stroke team composition and simulation experience for consecutive direct-to-center patients receiving intravenous thrombolysis (IVT) and/or endovascular therapy (EVT). The intervention consisted of a composite intervention centered around stroke-specific in situ simulation training. Primary outcome measure was the 'door-to-needle' time (DTN) for IVT. Secondary outcome measures included process times of EVT and measures taken to streamline the pre-existing treatment algorithm.RESULTS: The effect of the STREAM intervention on the process times of all acute stroke operations was neutral. However, secondary analyses showed a DTN reduction of 5 min from 38 min pre-intervention (interquartile range [IQR] 25-43 min) to 33 min (IQR 23-39 min, p = 0.03) post-intervention achieved by simulation-experienced stroke teams. Concerning EVT, we found significantly shorter door-to-groin times in patients who were treated by teams with simulation experience as compared to simulation-naive teams in the post-interventional phase (-21 min, simulation-naive: 95 min, IQR 69-111 vs. simulation-experienced: 74 min, IQR 51-92, p = 0.04).CONCLUSION: An intervention combining workflow refinement and simulation-based stroke team training has the potential to improve process times in acute stroke care.",
author = "Bohmann, {Ferdinand O} and Katharina Gruber and Natalia Kurka and Willems, {Laurent M} and Eva Herrmann and {du Mesnil de Rochemont}, Richard and Peter Scholz and Heike Rai and Philipp Zickler and Michael Ertl and Ansgar Berlis and Sven Poli and Annerose Mengel and Peter Ringleb and Simon Nagel and Johannes Pfaff and Wollenweber, {Frank A} and Lars Kellert and Moriz Herzberg and Luzie Koehler and Haeusler, {Karl Georg} and Anna Alegiani and Charlotte Schubert and Caspar Brekenfeld and Doppler, {Christopher E J} and Onur, {{\"O}zg{\"u}r A} and Christoph Kabbasch and Tanja Manser and Helmuth Steinmetz and Waltraud Pfeilschifter and {STREAM Trial Investigators}",
note = "{\textcopyright} 2021 The Authors. European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology.",
year = "2022",
month = jan,
doi = "10.1111/ene.15093",
language = "English",
volume = "29",
pages = "138--148",
journal = "EUR J NEUROL",
issn = "1351-5101",
publisher = "Wiley-Blackwell",
number = "1",

}

RIS

TY - JOUR

T1 - Simulation-based training improves process times in acute stroke care (STREAM)

AU - Bohmann, Ferdinand O

AU - Gruber, Katharina

AU - Kurka, Natalia

AU - Willems, Laurent M

AU - Herrmann, Eva

AU - du Mesnil de Rochemont, Richard

AU - Scholz, Peter

AU - Rai, Heike

AU - Zickler, Philipp

AU - Ertl, Michael

AU - Berlis, Ansgar

AU - Poli, Sven

AU - Mengel, Annerose

AU - Ringleb, Peter

AU - Nagel, Simon

AU - Pfaff, Johannes

AU - Wollenweber, Frank A

AU - Kellert, Lars

AU - Herzberg, Moriz

AU - Koehler, Luzie

AU - Haeusler, Karl Georg

AU - Alegiani, Anna

AU - Schubert, Charlotte

AU - Brekenfeld, Caspar

AU - Doppler, Christopher E J

AU - Onur, Özgür A

AU - Kabbasch, Christoph

AU - Manser, Tanja

AU - Steinmetz, Helmuth

AU - Pfeilschifter, Waltraud

AU - STREAM Trial Investigators

N1 - © 2021 The Authors. European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology.

PY - 2022/1

Y1 - 2022/1

N2 - BACKGROUND: The objective of the STREAM Trial was to evaluate the effect of simulation training on process times in acute stroke care.METHODS: The multicenter prospective interventional STREAM Trial was conducted between 10/2017 and 04/2019 at seven tertiary care neurocenters in Germany with a pre- and post-interventional observation phase. We recorded patient characteristics, acute stroke care process times, stroke team composition and simulation experience for consecutive direct-to-center patients receiving intravenous thrombolysis (IVT) and/or endovascular therapy (EVT). The intervention consisted of a composite intervention centered around stroke-specific in situ simulation training. Primary outcome measure was the 'door-to-needle' time (DTN) for IVT. Secondary outcome measures included process times of EVT and measures taken to streamline the pre-existing treatment algorithm.RESULTS: The effect of the STREAM intervention on the process times of all acute stroke operations was neutral. However, secondary analyses showed a DTN reduction of 5 min from 38 min pre-intervention (interquartile range [IQR] 25-43 min) to 33 min (IQR 23-39 min, p = 0.03) post-intervention achieved by simulation-experienced stroke teams. Concerning EVT, we found significantly shorter door-to-groin times in patients who were treated by teams with simulation experience as compared to simulation-naive teams in the post-interventional phase (-21 min, simulation-naive: 95 min, IQR 69-111 vs. simulation-experienced: 74 min, IQR 51-92, p = 0.04).CONCLUSION: An intervention combining workflow refinement and simulation-based stroke team training has the potential to improve process times in acute stroke care.

AB - BACKGROUND: The objective of the STREAM Trial was to evaluate the effect of simulation training on process times in acute stroke care.METHODS: The multicenter prospective interventional STREAM Trial was conducted between 10/2017 and 04/2019 at seven tertiary care neurocenters in Germany with a pre- and post-interventional observation phase. We recorded patient characteristics, acute stroke care process times, stroke team composition and simulation experience for consecutive direct-to-center patients receiving intravenous thrombolysis (IVT) and/or endovascular therapy (EVT). The intervention consisted of a composite intervention centered around stroke-specific in situ simulation training. Primary outcome measure was the 'door-to-needle' time (DTN) for IVT. Secondary outcome measures included process times of EVT and measures taken to streamline the pre-existing treatment algorithm.RESULTS: The effect of the STREAM intervention on the process times of all acute stroke operations was neutral. However, secondary analyses showed a DTN reduction of 5 min from 38 min pre-intervention (interquartile range [IQR] 25-43 min) to 33 min (IQR 23-39 min, p = 0.03) post-intervention achieved by simulation-experienced stroke teams. Concerning EVT, we found significantly shorter door-to-groin times in patients who were treated by teams with simulation experience as compared to simulation-naive teams in the post-interventional phase (-21 min, simulation-naive: 95 min, IQR 69-111 vs. simulation-experienced: 74 min, IQR 51-92, p = 0.04).CONCLUSION: An intervention combining workflow refinement and simulation-based stroke team training has the potential to improve process times in acute stroke care.

U2 - 10.1111/ene.15093

DO - 10.1111/ene.15093

M3 - SCORING: Journal article

C2 - 34478596

VL - 29

SP - 138

EP - 148

JO - EUR J NEUROL

JF - EUR J NEUROL

SN - 1351-5101

IS - 1

ER -