Exact(58)
In 2010, London and Greater Manchester both implemented stroke service change – a reconfiguration of existing units that concentrated "hyperacute" stroke care into just a few, dedicated centres.
Perhaps the best example of "fewer, bigger, better" is provided by the stroke service in London.
Our hospital stroke service admits patients from a core region with a radius of approx. 16 km (150.000 inhabitants), although this major stroke service treats, in addition, patients beyond this core region on an irregular basis.
In thirty consecutive stroke service patients, standard GRE T2* images were acquired and manually rated for microbleeds by a trained observer.
Randomisation was at the level of stroke service.
This stroke service is with 90% certainty cost-effective.
This makes the introduction of stroke service a complex intervention.
Participants will be purposively sampled from each stroke service.
In the stroke service investigated, nobody is the 'boss'boss
Similar(2)
The National Stroke Service network has plans to use the model for auditing its stroke services in The Netherlands in the coming years.
For example, a UK Stroke service was redeveloped using a face-to-face community of practice model to set up a stroke unit and implement best practice.
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