Search Results - "FREDERIKSEN, Shirley M"
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A multilevel intervention to increase community hospital use of alteplase for acute stroke (INSTINCT): a cluster-randomised controlled trial
Published in Lancet neurology (01-02-2013)“…Summary Background Use of alteplase improves outcome in some patients with stroke. Several types of barrier frequently prevent its use. We assessed whether a…”
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Journal Article -
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Provider perceptions of barriers to the emergency use of tPA for acute ischemic stroke: a qualitative study
Published in BMC emergency medicine (06-05-2011)“…Only 1-3% of ischemic stroke patients receive thrombolytic therapy. Provider barriers to adhering with guidelines recommending tPA delivery in acute stroke are…”
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Prevention of emergency physician migratory contamination in a cluster randomized trial to increase tissue plasminogen activator use in stroke (the INSTINCT trial)
Published in The American journal of emergency medicine (01-12-2014)“…Abstract Objectives Cluster randomized trials (CRTs) are increasingly used to evaluate quality improvement interventions aimed at health care providers. In…”
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Journal Article -
4
Protocol Deviations before and after Treatment with Intravenous Tissue Plasminogen Activator in Community Hospitals
Published in Journal of stroke and cerebrovascular diseases (01-01-2016)“…Background Protocol deviations before and after tissue plasminogen activator (tPA) treatment for ischemic stroke are common. It is unclear if patient or…”
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Attitudes and opinions regarding confirmatory adaptive clinical trials: a mixed methods analysis from the Adaptive Designs Accelerating Promising Trials into Treatments (ADAPT-IT) project
Published in Current controlled trials in cardiovascular medicine (29-07-2016)“…Adaptive designs have been increasingly used in the pharmaceutical and device industries, but adoption within the academic setting has been less widespread -…”
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Prospective Performance Assessment of an Out-of-Hospital Protocol for Selective Spine Immobilization Using Clinical Spine Clearance Criteria
Published in Annals of emergency medicine (01-08-2005)“…We determine whether the use of an emergency medical services (EMS) protocol for selective spine immobilization would result in appropriate immobilization…”
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Attitudes and beliefs of Michigan emergency physicians toward tissue plasminogen activator use in stroke: baseline survey results from the INcreasing Stroke Treatment through INteractive behavioral Change Tactic (INSTINCT) trial hospitals
Published in Stroke (1970) (01-09-2010)“…The objective of this study was to determine the baseline proportion of emergency physicians with favorable attitudes and beliefs toward intravenous tissue…”
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Antihypertensive Treatment Prolongs Tissue Plasminogen Activator Door-to-Treatment Time: Secondary Analysis of the INSTINCT Trial
Published in Stroke (1970) (01-12-2012)“…Identifying modifiable tissue plasminogen activator treatment delays may improve stroke outcomes. We hypothesized that prethrombolytic antihypertensive…”
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Journal Article -
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Does Preexisting Antiplatelet Treatment Influence Postthrombolysis Intracranial Hemorrhage in Community‐treated Ischemic Stroke Patients? An Observational Study
Published in Academic emergency medicine (01-02-2013)“…Objectives Intracranial hemorrhage (ICH) after acute stroke thrombolysis is associated with poor outcomes. Previous investigations of the relationship between…”
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Lack of association between pretreatment neurology consultation and subsequent protocol deviation in tissue plasminogen activator-treated patients with stroke
Published in Stroke (1970) (01-09-2010)“…We evaluated the hypothesis that consultation with neurology would be associated with fewer protocol deviations in tissue plasminogen activator-treated…”
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Journal Article -
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Safety of Intravenous Thrombolytic Use in Four Emergency Departments Without Acute Stroke Teams
Published in Academic emergency medicine (01-10-2010)“…Objectives: The objective was to evaluate safety of intravenous (IV) tissue plasminogen activator (tPA) delivered without dedicated thrombolytic stroke teams…”
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Journal Article -
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Lack of association between hyperglycaemia at arrival and clinical outcomes in acute stroke patients treated with tissue plasminogen activator
Published in International journal of stroke (01-06-2010)“…Rationale Hyperglycaemia is associated with adverse outcomes in some studies of acute ischaemic stroke. Aims We hypothesised that in thrombolytic-treated…”
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Prevalence of atrial fibrillation and antithrombotic prophylaxis in emergency department patients
Published in Stroke (1970) (01-11-2002)“…The emergency department (ED), as the point of first medical contact for many complaints referable to atrial fibrillation (AF) and a common source of primary…”
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The impact of emergency physician turnover on planning for prospective clinical trials
Published in The western journal of emergency medicine (01-02-2013)“…Emergency physician (EP) turnover is a significant issue that can have strong economic impact on hospital systems, as well as implications on research efforts…”
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The feasibility of pain assessment in the prehospital setting
Published in Prehospital emergency care (01-04-2004)“…To determine the feasibility of prehospital pain measurement among patients 13 years of age or older using a verbal and numeric rating scale and to assess the…”
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Qualitative Data Collection and Analysis Methods: The INSTINCT Trial
Published in Academic emergency medicine (01-11-2007)“…Patient care practices often lag behind current scientific evidence and professional guidelines. The failure of such knowledge translation (KT) efforts may…”
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Journal Article -
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Prevention of EP Migratory Contamination in a Cluster Randomized Trial to Increase tPA Use in Stroke (The INSTINCT Trial)
Published in The American journal of emergency medicine (06-09-2014)Get full text
Journal Article -
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Protocol deviations before and after IV tPA in community hospitals
Published in Journal of stroke and cerebrovascular diseases (26-09-2015)Get full text
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Abstract 174: Economic Benefit of an Educational Intervention to Improve tPA Use in Community Hospitals: Secondary Analysis of the INSTINCT Trial
Published in Stroke (1970) (01-02-2012)“…Abstract only Introduction: Prior work demonstrates substantial economic benefit from tPA use. We hypothesized a T2 knowledge translation (KT) program to…”
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Anti-hypertensive treatment prolongs tPA door-to-treatment time: Secondary analysis of the INSTINCT trial
Published in Stroke (1970) (02-10-2012)Get full text
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