CODE STROKE ALERT-Concept and development of a novel open-source platform to streamline acute stroke management

Seah, Huey Ming, Burney, Moe, Phan, Michael, Shell, Daniel, Wu, Jamin, Zhou, Kevin, Brooks, Owen, Coulton, Bronwyn, Maingard, Julian, Tang, Jennifer, Yazdabadi, Gohar, Tahayori, Bahman, Barras, Christen, Kok, Hong Kuan, Chandra, Ronil, Thijs, Vincent, Brooks, Duncan Mark and Asadi, Hamed 2019, CODE STROKE ALERT-Concept and development of a novel open-source platform to streamline acute stroke management, Frontiers in neurology, vol. 10, doi: 10.3389/fneur.2019.00725.

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Title CODE STROKE ALERT-Concept and development of a novel open-source platform to streamline acute stroke management
Author(s) Seah, Huey Ming
Burney, Moe
Phan, Michael
Shell, Daniel
Wu, Jamin
Zhou, Kevin
Brooks, Owen
Coulton, Bronwyn
Maingard, Julian
Tang, Jennifer
Yazdabadi, Gohar
Tahayori, Bahman
Barras, Christen
Kok, Hong Kuan
Chandra, Ronil
Thijs, Vincent
Brooks, Duncan Mark
Asadi, HamedORCID iD for Asadi, Hamed
Journal name Frontiers in neurology
Volume number 10
Article ID 725
Total pages 10
Publisher Frontiers Media
Place of publication Lausanne, Switzerland
Publication date 2019-07-31
ISSN 1664-2295
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Clinical Neurology
Neurosciences & Neurology
endovascular clot retrieval
communication platform
mechanical thrombectomy
Summary Introduction: Effective, time-critical intervention in acute stroke is crucial to mitigate mortality rate and morbidity, but delivery of reperfusion treatments is often hampered by pre-, in-, or inter-hospital system level delays. Disjointed, repetitive, and inefficient communication is a consistent contributor to avoidable treatment delay. In the era of rapid reperfusion therapy for ischemic stroke, there is a need for a communication system to synchronize the flow of clinical information across the entire stroke journey. Material/Methods: A multi-disciplinary development team designed an electronic communications platform, integrated between web browsers and a mobile application, to link all relevant members of the stroke treatment pathway. The platform uses tiered notifications, geotagging, incorporates multiple clinical score calculators, and is compliant with security regulations. The system safely saves relevant information for audit and research. Results: Code Stroke Alert is a platform that can be accessed by emergency medical services (EMS) and hospital staff, coordinating the flow of information during acute stroke care, reducing duplication, and error in clinical information handover. Electronic data logs provide an auditable trail of relevant quality improvement metrics, facilitating quality improvement, and research. Discussion: Code Stroke Alert will be freely available to health networks globally. The open-source nature of the software offers valuable potential for future development of plug-ins and add-ons, based on individual institutional needs. Prospective, multi-site implementation, and measurement of clinical impact are underway.
Language eng
DOI 10.3389/fneur.2019.00725
Indigenous content off
Field of Research 1109 Neurosciences
1103 Clinical Sciences
1701 Psychology
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2019, Seah, Burney, Phan, Shell, Wu, Zhou, Brooks, Coulton, Maingard, Tang, Yazdabadi, Tahayori, Barras, Kok, Chandra, Thijs, Brooks and Asadi
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