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Open Access Emergency Medicine Volume 10, 2018 - Issue
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Original Research

Strategies for improving outcomes in the acute management of ischemic stroke in rural emergency departments: a quality improvement initiative in the Stroke Belt

Edward C Jauch1 Department of Emergency Medicine, Medical University of South Carolina, Charleston, SC, USA
,
David Y Huang2 Department of Neurology, Division of Stroke and Vascular Neurology, University of North Carolina School of Medicine, Chapel Hill, NC, USA
,
Allison J Gardner3 QI Institute, Med-IQ, Baltimore, MD, USACorrespondence[email protected]
&
Julie L Blum3 QI Institute, Med-IQ, Baltimore, MD, USA
Pages 53-59 | Published online: 16 May 2018

References

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  • Lackland DT, Roccella EJ, Deutsch AF, et al; American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Quality of Care and Outcomes Research; Council on Functional Genomics and Translational Biology. Factors influencing the decline in stroke mortality: a statement from the American Heart Association/American Stroke Association. Stroke. 2014;45(1):315–353.
  • Karp DN, Wolff CS, Wiebe DJ, Branas CC, Carr BG, Mullen MT. Reassessing the Stroke Belt: using small area spatial statistics to identify clusters of high stroke mortality in the United States. Stroke. 2016;47(7):1939–1942.
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  • Messé SR, Khatri P, Reeves MJ, et al. Why are acute ischemic stroke patients not receiving IV tPA? Results from a national registry. Neurology. 2016;87(15):1565–1574.
  • Centers for Disease Control and Prevention (CDC). Use of a registry to improve acute stroke care: seven states, 2005–2009. MMWR Morb Mortal Wkly Rep. 2011;60(7):206–210.
  • Hacke W, Kaste M, Bluhmki E, et al; ECASS Investigators. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med. 2008;359(13):1317–1329.
  • Tian J, Atkinson NL, Portnoy B, Gold RS. A systematic review of evaluation in formal continuing medical education. J Contin Educ Health Prof. 2007:27(1):16–27.

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