Circ Cardiovasc Qual
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Circ Cardiovasc Qual · Sep 2016
Randomized Controlled Trial Multicenter Study Comparative StudyRandomized Comparison of High-Sensitivity Troponin Reporting in Undifferentiated Chest Pain Assessment.
High-sensitivity troponin T (hs-TnT) assays promise greater discrimination of evolving myocardial infarction, but the impact of unguided implementation on the effectiveness of care is uncertain. ⋯ URL: http://www.ANZCTR.org.au. Unique identifier: ACTRN12611000879965.
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Circ Cardiovasc Qual · Sep 2016
Multicenter StudyRegional Learning Collaboratives Produce Rapid and Sustainable Improvements in Stroke Thrombolysis Times.
Reduction in door-to-needle (DTN) times in patients with acute ischemic stroke treated with tissue-type plasminogen activator is associated with improved outcomes. We hypothesized that a learning collaborative would rapidly reduce DTN times at Chicago's primary stroke centers. ⋯ Using a learning collaborative model at Chicago's 15 primary stroke centers, we observed major reductions in DTN times within 1 quarter of implementation. Regional collaboration and best practices sharing should be a model for rapid and sustainable system-wide quality improvement.