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Hospital Implementation of a Stroke Protocol for Emergency Evaluation and Disposition
Sponsor: University of Chicago
Summary
Most stroke patients are initially evaluated at the closest hospital but some need to be transferred to a hospital that can provide more advanced care. The "Door-In-Door-Out" (DIDO) process at the first hospital can take time making transferred patients no longer able to get the advanced treatments. This study will help hospitals across the US "stand up" new ways to evaluate stroke patients, decide who needs to be transferred, and transfer them quickly for advanced treatment.
Official title: Implementation of a Stroke Protocol for Emergency Evaluation and Disposition
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
900
Start Date
2024-10-17
Completion Date
2028-07-31
Last Updated
2025-08-22
Healthy Volunteers
No
Interventions
HI-SPEED Protocol
The HI-SPEED Protocol or Bundle consists of 7 components including 1) stroke screening scales, 2) imaging pathways, 3) telestroke operations, 4) a best practice alert, 5) stroke team communication tool, 6) door-to-needle (thrombolysis) treatment pathway, and 7) a standardized hand-off tool. This protocol will be implemented at each participating health system in clusters of 2 health systems.
Locations (7)
Yale New Haven Hospital
New Haven, Connecticut, United States
Jackson Memorial Hospital
Miami, Florida, United States
Emory University Hospital
Atlanta, Georgia, United States
UChicago Medicine Ingalls Memorial Hospital
Chicago, Illinois, United States
New York Presbyterian - Weill Cornell Hospital
New York, New York, United States
University of Cincinnati Medical Center
Cincinnati, Ohio, United States
University of Utah Health
Salt Lake City, Utah, United States