Stroke Learning Health Systems: A Topical Narrative Review With
Case Examples

J 2023

Stroke Learning Health Systems: A Topical Narrative Review With Case Examples

CADILHAC, Dominique A, Dawn M BRAVATA, Janet Prvu BETTGER, Robert MIKULÍK, Bo NORRVING et. al.

Basic information

Original name

Stroke Learning Health Systems: A Topical Narrative Review With Case Examples

Authors

CADILHAC, Dominique A (guarantor), Dawn M BRAVATA, Janet Prvu BETTGER, Robert MIKULÍK (203 Czech Republic, belonging to the institution), Bo NORRVING, Ezinne O UVERE, Mayowa OWOLABI, Annemarei RANTA and Monique F KILKENNY

Edition

Stroke, PHILADELPHIA, Lippincott Williams & Wilkins, 2023, 0039-2499

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

STROKE

Impact factor

Impact factor: 8.300 in 2022

RIV identification code

RIV/00216224:14110/23:00131951

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1161/STROKEAHA.122.036216

UT WoS

000968172400050

Keywords (in Czech)

emergency medical services; ischemic attack; transient; learning health system; quality improvement; stroke

Keywords in English

emergency medical services; ischemic attack; transient; learning health system; quality improvement; stroke

Abstract

V originále

To our knowledge, the adoption of Learning Health System (LHS) concepts or approaches for improving stroke care, patient outcomes, and value have not previously been summarized. This topical review provides a summary of the published evidence about LHSs applied to stroke, and case examples applied to different aspects of stroke care from high and low-to-middle income countries. Our attempt to systematically identify the relevant literature and obtain real-world examples demonstrated the dissemination gaps, the lack of learning and action for many of the related LHS concepts across the continuum of care but also elucidated the opportunity for continued dialogue on how to study and scale LHS advances. In the field of stroke, we found only a few published examples of LHSs and health systems globally implementing some selected LHS concepts, but the term is not common. A major barrier to identifying relevant LHS examples in stroke may be the lack of an agreed taxonomy or terminology for classification. We acknowledge that health service delivery settings that leverage many of the LHS concepts do so operationally and the lessons learned are not shared in peer-reviewed literature. It is likely that this topical review will further stimulate the stroke community to disseminate related activities and use keywords such as learning health system so that the evidence base can be more readily identified.

Links

90249, large research infrastructures

Name: CZECRIN IV

Citovat

CADILHAC, Dominique A, Dawn M BRAVATA, Janet Prvu BETTGER, Robert MIKULÍK, Bo NORRVING, Ezinne O UVERE, Mayowa OWOLABI, Annemarei RANTA and Monique F KILKENNY. Stroke Learning Health Systems: A Topical Narrative Review With Case Examples. Stroke. PHILADELPHIA: Lippincott Williams & Wilkins, 2023, vol. 54, No 4, p. 1148-1159. ISSN 0039-2499. Available from: https://dx.doi.org/10.1161/STROKEAHA.122.036216.

@article{2327105,
   author = {Cadilhac, Dominique A and Bravata, Dawn M and Bettger, Janet Prvu and Mikulík, Robert and Norrving, Bo and Uvere, Ezinne O and Owolabi, Mayowa and Ranta, Annemarei and Kilkenny, Monique F},
   article_location = {PHILADELPHIA},
   article_number = {4},
   doi = {http://dx.doi.org/10.1161/STROKEAHA.122.036216},
   keywords = {emergency medical services; ischemic attack; transient; learning health system; quality improvement; stroke},
   language = {eng},
   issn = {0039-2499},
   journal = {Stroke},
   title = {Stroke Learning Health Systems: A Topical Narrative Review With Case Examples},
   url = {https://www.ahajournals.org/doi/10.1161/STROKEAHA.122.036216},
   volume = {54},
   year = {2023}
}

TY  - JOUR
ID  - 2327105
AU  - Cadilhac, Dominique A - Bravata, Dawn M - Bettger, Janet Prvu - Mikulík, Robert - Norrving, Bo - Uvere, Ezinne O - Owolabi, Mayowa - Ranta, Annemarei - Kilkenny, Monique F
PY  - 2023
TI  - Stroke Learning Health Systems: A Topical Narrative Review With Case Examples
JF  - Stroke
VL  - 54
IS  - 4
SP  - 1148-1159
EP  - 1148-1159
PB  - Lippincott Williams & Wilkins
SN  - 00392499
KW  - emergency medical services
KW  - ischemic attack
KW  - transient
KW  - learning health system
KW  - quality improvement
KW  - stroke
UR  - https://www.ahajournals.org/doi/10.1161/STROKEAHA.122.036216
N2  - To our knowledge, the adoption of Learning Health System (LHS) concepts or approaches for improving stroke care, patient outcomes, and value have not previously been summarized. This topical review provides a summary of the published evidence about LHSs applied to stroke, and case examples applied to different aspects of stroke care from high and low-to-middle income countries. Our attempt to systematically identify the relevant literature and obtain real-world examples demonstrated the dissemination gaps, the lack of learning and action for many of the related LHS concepts across the continuum of care but also elucidated the opportunity for continued dialogue on how to study and scale LHS advances. In the field of stroke, we found only a few published examples of LHSs and health systems globally implementing some selected LHS concepts, but the term is not common. A major barrier to identifying relevant LHS examples in stroke may be the lack of an agreed taxonomy or terminology for classification. We acknowledge that health service delivery settings that leverage many of the LHS concepts do so operationally and the lessons learned are not shared in peer-reviewed literature. It is likely that this topical review will further stimulate the stroke community to disseminate related activities and use keywords such as learning health system so that the evidence base can be more readily identified.
ER  -

CADILHAC, Dominique A, Dawn M BRAVATA, Janet Prvu BETTGER, Robert MIKULÍK, Bo NORRVING, Ezinne O UVERE, Mayowa OWOLABI, Annemarei RANTA and Monique F KILKENNY. Stroke Learning Health Systems: A Topical Narrative Review With Case Examples. \textit{Stroke}. PHILADELPHIA: Lippincott Williams \&{} Wilkins, 2023, vol.~54, No~4, p.~1148-1159. ISSN~0039-2499. Available from: https://dx.doi.org/10.1161/STROKEAHA.122.036216.

Detailed Information on Publication Record