Synthesizing Lessons Learned From Get With The Guidelines: The Value of Disease-Based Registries in Improving Quality and Outcomes

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The American Heart Association: October 28, 2013 The Value of Disease-Based Registries in Improving Quality and Outcomes The American Heart Association/American Stroke Association (AHA/ASA) is a trusted source of scientific information in cardiovascular medicine. The AHA/ASA has a longstanding commitment to support state-of-the-art scientific research in cardiovascular disease and stroke. The AHA/ASA has also developed a leadership role in translating cardiovascular science […]

Secondary Prevention of Atherosclerotic Cardiovascular Disease in Older Adults

American Heart Association: October 28, 2013   Since the initial scientific statement on Secondary revention of Coronary Heart Disease (CHD) in the Elderly was published in 2002,1 several trends have continued hat make an update highly appropriate. First, the graying of the US population and those of other industrialized ountries has progressed unabated because more adults are surviving into their senior […]

Benchmarks for acute stroke care delivery

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Int J Qual Health Care: October 17, 2013 Objective Despite widespread interest in many jurisdictions in monitoring and improving the quality of stroke care delivery, benchmarks for most stroke performance indicators have not been established. The objective of this study was to develop data-derived benchmarks for acute stroke quality indicators. Design Nine key acute stroke quality indicators were […]

Synthesising practice guidelines for the development of community-based exercise programmes after stroke

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Implementation Science: October 1, 2013 Background Multiple guidelines are often available to inform practice in complex interventions. Guidance implementation may be facilitated if it is tailored to particular clinical issues and contexts. It should also aim to specify all elements of interventions that may mediate and modify effectiveness, including both their content and delivery. We conducted […]

Refocusing the Agenda on Cardiovascular Guidelines

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NHLBI Announcement: Cardiovascular Guidelines: October 2013 When he dedicated the new National Institutes of Health (NIH) Bethesda campus in October 1940, President Franklin D. Roosevelt declared, “We cannot be a strong nation unless we are a healthy nation. And so we must recruit knowledge and science in the service of national strength” 1. For more than 65 years, […]

Clinical Decision Rules to Rule Out Subarachnoid Hemorrhage for Acute Headache

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JAMA: 9/25/13 Importance  Three clinical decision rules were previously derived to identify patients with headache requiring investigations to rule out subarachnoid hemorrhage. Objective  To assess the accuracy, reliability, acceptability, and potential refinement (ie, to improve sensitivity or specificity) of these rules in a new cohort of patients with headache. Design, Setting, and Patients  Multicenter cohort study conducted at 10 […]

Variable Impact of State Legislative Advocacy on Registry Participation and Regional Systems of Care Implementation

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AHA: 9/16/13 Regionalization, systems of care design, and quality improvement (QI) registry participation all promote the widespread dissemination of guideline-based evidence into actual practice. As a result, policy statements from the American Heart Association/American Stroke Association (AHA/ASA) advocate  the creation of regional systems of care for various timecritical diagnoses, including ST-elevation myocardial infarction (STEMI), out-of-hospital cardiac arrest resuscitation, and acute stroke. Read more

Making sense of complex data: a mapping process for analyzing findings of a realist review on guideline implementabilit

BMC: 9/12/13 Realist reviews offer a rigorous method to analyze heterogeneous data emerging from multiple disciplines as a means to develop new concepts, understand the relationships between them, and identify the evidentiary base underpinning them. However, emerging synthesis methods such as the Realist Review are not well operationalized and may be difficult for the novice […]

The process of developing evidence-based guidance in medicine and public health: a qualitative study of views from the inside

Implementation Science: 9/4/13 There has been significant investment in developing guidelines to improve clinical and public health practice. Though much is known about the processes of evidence synthesis and evidence-based guidelines implementation, we know little about how evidence presented to advisory groups is interpreted and used to form practice recommendations or what happens where evidence is […]

Interactions Within Stroke Systems of Care

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AHA: 8/29/13 A Policy Statement From the American Heart Association/American Stroke Association In the United States and other parts of the world, various cities, states, and regions are developing multitiered systems for the care of patients with acute stroke. These systems often involve a range of healthcare components supported by various rules and regulations. The present policy statement will put […]

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