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A Visual Task Management Application for Acute Ischemic Stroke Care

Background: To maximize the effect of intravenous (IV) thrombolysis and/or endovascular therapy (EVT) for acute ischemic stroke (AIS), stroke centers need to establish a parallel workflow on the basis of a code stroke (CS) protocol. At Kokura Memorial Hospital (KMH), we implemented a CS system in Ja...

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Autores principales: Matsumoto, Shoji, Koyama, Hiroshi, Nakahara, Ichiro, Ishii, Akira, Hatano, Taketo, Ohta, Tsuyoshi, Tanaka, Koji, Ando, Mitsushige, Chihara, Hideo, Takita, Wataru, Tokunaga, Keisuke, Hashikawa, Takuro, Funakoshi, Yusuke, Kamata, Takahiko, Higashi, Eiji, Watanabe, Sadayoshi, Kondo, Daisuke, Tsujimoto, Atsushi, Furuta, Konosuke, Ishihara, Takuma, Hashimoto, Tetsuya, Koge, Junpei, Sonoda, Kazutaka, Torii, Takako, Nakagaki, Hideaki, Yamasaki, Ryo, Nagata, Izumi, Kira, Jun-ichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831722/
https://www.ncbi.nlm.nih.gov/pubmed/31736851
http://dx.doi.org/10.3389/fneur.2019.01118
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author Matsumoto, Shoji
Koyama, Hiroshi
Nakahara, Ichiro
Ishii, Akira
Hatano, Taketo
Ohta, Tsuyoshi
Tanaka, Koji
Ando, Mitsushige
Chihara, Hideo
Takita, Wataru
Tokunaga, Keisuke
Hashikawa, Takuro
Funakoshi, Yusuke
Kamata, Takahiko
Higashi, Eiji
Watanabe, Sadayoshi
Kondo, Daisuke
Tsujimoto, Atsushi
Furuta, Konosuke
Ishihara, Takuma
Hashimoto, Tetsuya
Koge, Junpei
Sonoda, Kazutaka
Torii, Takako
Nakagaki, Hideaki
Yamasaki, Ryo
Nagata, Izumi
Kira, Jun-ichi
author_facet Matsumoto, Shoji
Koyama, Hiroshi
Nakahara, Ichiro
Ishii, Akira
Hatano, Taketo
Ohta, Tsuyoshi
Tanaka, Koji
Ando, Mitsushige
Chihara, Hideo
Takita, Wataru
Tokunaga, Keisuke
Hashikawa, Takuro
Funakoshi, Yusuke
Kamata, Takahiko
Higashi, Eiji
Watanabe, Sadayoshi
Kondo, Daisuke
Tsujimoto, Atsushi
Furuta, Konosuke
Ishihara, Takuma
Hashimoto, Tetsuya
Koge, Junpei
Sonoda, Kazutaka
Torii, Takako
Nakagaki, Hideaki
Yamasaki, Ryo
Nagata, Izumi
Kira, Jun-ichi
author_sort Matsumoto, Shoji
collection PubMed
description Background: To maximize the effect of intravenous (IV) thrombolysis and/or endovascular therapy (EVT) for acute ischemic stroke (AIS), stroke centers need to establish a parallel workflow on the basis of a code stroke (CS) protocol. At Kokura Memorial Hospital (KMH), we implemented a CS system in January 2014; however, the process of information sharing within the team has occasionally been burdensome. Objective: To solve this problem using information communication technology (ICT), we developed a novel application for smart devices, named “Task Calc. Stroke” (TCS), and aimed to investigate the impact of TCS on AIS care. Methods: TCS can visualize the real-time progress of crucial tasks for AIS on a dashboard by changing color indicators. From August 2015 to March 2017, we installed TCS at KMH and recommended its use during normal business hours (NBH). We compared the door-to-computed tomography time, the door-to-complete blood count (door-to-CBC) time, the door-to-needle for IV thrombolysis time, and the door-to-puncture for EVT time among three treatment groups, one using TCS (“TCS-based CS”), one not using TCS (“phone-based CS”), and one not based on CS (“non-CS”). A questionnaire survey regarding communication problems was conducted among the CS teams at 3 months after the implementation of TCS. Results: During the study period, 74 patients with AIS were transported to KMH within 4.5 h from onset during NBH, and 53 were treated using a CS approach (phone-based CS: 26, TSC-based CS: 27). The door-to-CBC time was significantly reduced in the TCS-based CS group compared to the phone-based CS group, from 31 to 19 min (p = 0.043). Other processing times were also reduced, albeit not significantly. The rate of IV thrombosis was higher in the TCS-based CS group (78% vs. 46%, p = 0.037). The questionnaire was correctly filled in by 34/38 (89%) respondents, and 82% of the respondents felt a reduction in communication burden by using the TCS application. Conclusions: TCS is a novel approach that uses ICT to support information sharing in a parallel CS workflow in AIS care. It shortens the processing times of critical tasks and lessens the communication burden among team members.
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spelling pubmed-68317222019-11-15 A Visual Task Management Application for Acute Ischemic Stroke Care Matsumoto, Shoji Koyama, Hiroshi Nakahara, Ichiro Ishii, Akira Hatano, Taketo Ohta, Tsuyoshi Tanaka, Koji Ando, Mitsushige Chihara, Hideo Takita, Wataru Tokunaga, Keisuke Hashikawa, Takuro Funakoshi, Yusuke Kamata, Takahiko Higashi, Eiji Watanabe, Sadayoshi Kondo, Daisuke Tsujimoto, Atsushi Furuta, Konosuke Ishihara, Takuma Hashimoto, Tetsuya Koge, Junpei Sonoda, Kazutaka Torii, Takako Nakagaki, Hideaki Yamasaki, Ryo Nagata, Izumi Kira, Jun-ichi Front Neurol Neurology Background: To maximize the effect of intravenous (IV) thrombolysis and/or endovascular therapy (EVT) for acute ischemic stroke (AIS), stroke centers need to establish a parallel workflow on the basis of a code stroke (CS) protocol. At Kokura Memorial Hospital (KMH), we implemented a CS system in January 2014; however, the process of information sharing within the team has occasionally been burdensome. Objective: To solve this problem using information communication technology (ICT), we developed a novel application for smart devices, named “Task Calc. Stroke” (TCS), and aimed to investigate the impact of TCS on AIS care. Methods: TCS can visualize the real-time progress of crucial tasks for AIS on a dashboard by changing color indicators. From August 2015 to March 2017, we installed TCS at KMH and recommended its use during normal business hours (NBH). We compared the door-to-computed tomography time, the door-to-complete blood count (door-to-CBC) time, the door-to-needle for IV thrombolysis time, and the door-to-puncture for EVT time among three treatment groups, one using TCS (“TCS-based CS”), one not using TCS (“phone-based CS”), and one not based on CS (“non-CS”). A questionnaire survey regarding communication problems was conducted among the CS teams at 3 months after the implementation of TCS. Results: During the study period, 74 patients with AIS were transported to KMH within 4.5 h from onset during NBH, and 53 were treated using a CS approach (phone-based CS: 26, TSC-based CS: 27). The door-to-CBC time was significantly reduced in the TCS-based CS group compared to the phone-based CS group, from 31 to 19 min (p = 0.043). Other processing times were also reduced, albeit not significantly. The rate of IV thrombosis was higher in the TCS-based CS group (78% vs. 46%, p = 0.037). The questionnaire was correctly filled in by 34/38 (89%) respondents, and 82% of the respondents felt a reduction in communication burden by using the TCS application. Conclusions: TCS is a novel approach that uses ICT to support information sharing in a parallel CS workflow in AIS care. It shortens the processing times of critical tasks and lessens the communication burden among team members. Frontiers Media S.A. 2019-10-30 /pmc/articles/PMC6831722/ /pubmed/31736851 http://dx.doi.org/10.3389/fneur.2019.01118 Text en Copyright © 2019 Matsumoto, Koyama, Nakahara, Ishii, Hatano, Ohta, Tanaka, Ando, Chihara, Takita, Tokunaga, Hashikawa, Funakoshi, Kamata, Higashi, Watanabe, Kondo, Tsujimoto, Furuta, Ishihara, Hashimoto, Koge, Sonoda, Torii, Nakagaki, Yamasaki, Nagata and Kira. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Matsumoto, Shoji
Koyama, Hiroshi
Nakahara, Ichiro
Ishii, Akira
Hatano, Taketo
Ohta, Tsuyoshi
Tanaka, Koji
Ando, Mitsushige
Chihara, Hideo
Takita, Wataru
Tokunaga, Keisuke
Hashikawa, Takuro
Funakoshi, Yusuke
Kamata, Takahiko
Higashi, Eiji
Watanabe, Sadayoshi
Kondo, Daisuke
Tsujimoto, Atsushi
Furuta, Konosuke
Ishihara, Takuma
Hashimoto, Tetsuya
Koge, Junpei
Sonoda, Kazutaka
Torii, Takako
Nakagaki, Hideaki
Yamasaki, Ryo
Nagata, Izumi
Kira, Jun-ichi
A Visual Task Management Application for Acute Ischemic Stroke Care
title A Visual Task Management Application for Acute Ischemic Stroke Care
title_full A Visual Task Management Application for Acute Ischemic Stroke Care
title_fullStr A Visual Task Management Application for Acute Ischemic Stroke Care
title_full_unstemmed A Visual Task Management Application for Acute Ischemic Stroke Care
title_short A Visual Task Management Application for Acute Ischemic Stroke Care
title_sort visual task management application for acute ischemic stroke care
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831722/
https://www.ncbi.nlm.nih.gov/pubmed/31736851
http://dx.doi.org/10.3389/fneur.2019.01118
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