ISSN: 1859 - 2872
Effective intervention to improve knowledge and practice of using information technology in organizing emergency care for patients with acute ischemic stroke in 6 hospitals in the Northern region, period 2023-2024
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Abstract
Objective: To evaluate the effectiveness of intervention to improve knowledge and practice of using information technology and software to manage connections between hospitals in organizing emergency care for acute ischemic stroke patients in 6 hospitals in the Northern region, period 2023-2024. Subject and method: A non-controlled intervention study design was conducted on 159 medical staff before intervention and 157 medical staff after intervention at 6 hospitals. Intervention activities focussed mainly on continuous training and supportive supervision for medical staff within 12 months as well as providing software to manage connections between hospitals in the organization of emergency care for patients with acute ischemic stroke and practice supervision to support direct and medical staff. Data on intervention effectiveness were collected by interviews and observations based on pre- and post-intervention checklists. Result and conclusion: Knowledge and skills of medical staff in intervention and organization of emergency care for patients with acute ischemic stroke increased significantly after 12 months of intervention. The average total knowledge score of medical staff in providing emergency care for patients with acute ischemic stroke increased from 2.6 ± 0.5 to 4.5 ± 0.3 with effective index reaching 73.1%. The average total information technology practice score of medical staff increased from 2.7 ± 0.5 to 4.6 ± 0.3 with effective index reaching 70.4%. The effectiveness of medical staff's intervention in connection management software between emergency hospitals for patients with acute ischemic stroke increased significantly in all evaluation contents. It is necessary to continue training and supportive supervision to maintain intervention results and proposed that this model can be expanded to other hospitals.
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References
2. Sadoughi F, Hemmat M, Valinejadi A et al (2017) Assessment of Health Information Technology Knowledge, Attitude, and Practice among Healthcare Activists in Tehran Hospitals. IJCSNS171.
3. Demaerschalk BM (2011) Telemedicine or telephone consultation in patients with acute stroke. Curr Neurol Neurosci Rep 11(1): 42-51. doi:10.1007/s11910-010-0147-x.
4. Scott PA, Frederiksen SM, Kalbfleisch JD et al (2010) Safety of intravenous thrombolytic use in four emergency departments without acute stroke teams. Academic Emergency Medicine 17(10): 1062-1071.
5. Schwamm LH, Audebert HJ, Amarenco P et al (2009) Recommendations for the implementation of telemedicine within stroke systems of care: A policy statement from the American Heart Association. Stroke 40(7):2635-2660.
6. Schwamm LH, Holloway RG, Amarenco P et al (2009) A review of the evidence for the use of telemedicine within stroke systems of care: A scientific statement from the American Heart Association/American Stroke Association. Stroke 40(7): 2616-2634.
7. Munich SA, Tan LA, Nogueira DM et al (2017) Mobile Real-time Tracking of Acute Stroke Patients and Instant, Secure Inter-team Communication - the Join App. Neurointervention 12(2): 69-76. doi:10.5469/neuroint.2017.12.2.69.
8. Mathur S, Walter S, Grunwald IQ et al (2019) Improving prehospital stroke services in rural and underserved settings with mobile stroke units. Frontiers in neurology 10: 159. doi:10.3389/fneur.2019.00159.
9. Bộ Y tế (2021) Quyết định 28/QĐ-BYT về việc ban hành bộ tiêu chí công nghệ thông tin để thực hiện hoạt động y tế từ xa.
10. Hà Minh Đức và cộng sự (2023) Đề tài NCKH cấp tỉnh: Nghiên cứu mô hình cấp cứu đột quỵ nhồi máu não cấp tại Bệnh viện Đa khoa khu vực tỉnh An Giang. UBND Tỉnh An Giang.