Feasibility of Certified Quality Management in a Comprehensive Stroke Care Network Using Telemedicine: STENO Project

dc.contributor.authorHandschu, René
dc.contributor.authorScibor, Mateusz
dc.contributor.authorWacker, Angela
dc.contributor.authorStark, David R.
dc.contributor.authorKöhrmann, Martin
dc.contributor.authorErbguth, Frank
dc.contributor.authorOschmann, Patrick
dc.contributor.authorSchwab, Stefan
dc.contributor.authorMarquardt, Lars
dc.date.accessioned2017-01-31
dc.date.available2017-01-26
dc.date.created2014
dc.date.issued2017-01-31
dc.description.abstractBackground Stroke care networks with and without telemedicine have been established in several countries over the last decade to provide specialized stroke expertise to patients in rural areas. Acute consultation is a first step in the management of stroke, but not the only one. Methods of standardization of care and treatment are much needed. So far, quality management systems have only been used for single stroke units. To the best of our knowledge, we are the first stroke network worldwide to aim for certification of a network-wide quality management system. Methods The Stroke Network Using Telemedicine in Northern Bavaria (STENO), currently with 20 associated medical institutions, is one of the world's largest stroke networks, caring for over 5000 stroke patients each year. In 2010, we initiated the implementation of a network-wide ‘total’ quality management system according to ISO standard 9001:2008 in cooperation with the German Stroke Society and a third-party certification organization (LGA InterCert). Results Certification according to ISO 9001:2008 was awarded in March 2011 and maintained over a complete certification cycle of 3 years without major deviation from the norm in three external third-party audits. Thrombolysis rate significantly increased from 8·2% (2009) to 12·8% (2012). Conclusions Certified quality management within a large stroke network using telemedicine is possible and might improve stroke care procedures and thrombolysis rates. Outcome studies comparing conventional stroke care and telestroke care are inevitable.en
dc.format.extent1011 - 1016
dc.identifier.citationInternational Journal of Stroke 9.8 (2014): S. 1011-1016. <http://journals.sagepub.com/doi/full/10.1111/ijs.12342>
dc.identifier.doihttps://doi.org/10.1111/ijs.12342
dc.identifier.opus-id8154
dc.identifier.urihttps://open.fau.de/handle/openfau/8154
dc.identifier.urnurn:nbn:de:bvb:29-opus4-81543
dc.language.isoen
dc.rights.urihttp://www.gesetze-im-internet.de/urhg/index.html
dc.subjectcertification
dc.subjectquality management
dc.subjectstroke
dc.subjectstroke unit
dc.subjecttelemedicine
dc.subject.ddcDDC Classification::6 Technik, Medizin, angewandte Wissenschaften :: 61 Medizin und Gesundheit :: 610 Medizin und Gesundheit
dc.titleFeasibility of Certified Quality Management in a Comprehensive Stroke Care Network Using Telemedicine: STENO Projecten
dc.typearticle
dcterms.publisherFriedrich-Alexander-Universität Erlangen-Nürnberg (FAU)
local.journal.issue8
local.journal.titleInternational Journal of Stroke
local.journal.volume9
local.sendToDnbfree*
local.subject.fakultaetMedizinische Fakultät
local.subject.gnd-
local.subject.sammlungUniversität Erlangen-Nürnberg / Allianzlizenzen: Alle Beiträge sind mit Zustimmung der Rechteinhaber aufgrund einer DFG-geförderten Allianzlizenz frei zugänglich. / Allianzlizenzen 2014
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