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Transient ischaemic attack and stroke risk: pilot of a primary care electronic decision support tool
1Department of Neurology, MidCentral Health, PB 11036, Palmerston North 4442, New Zealand. Anna.ranta@midcentraldhb.govt.nz
Introduction:
Transient ischaemic attacks (TIAs) indicate high risk for stroke and rapid management reduces stroke burden. Rapid specialist access to initiate timely management is often challenging to achieve.
Aim:
To assess the feasibility of implementing a TIA/Stroke electronic decision support (EDS) tool intended to aid general practitioners (GPs) in the timely management of TIAs.
Methods:
An eight-week pilot provided access to the TIA/Stroke EDS to selected GPs in the MidCentral district, with subsequent patient record review and a post-pilot user satisfaction survey.
Results:
Eleven patients from eight practices were entered into the tool and when EDS-rendered advice was followed, diagnosis was accurate and management was in accordance with New Zealand TIA guidelines. No adverse outcomes resulted and user feedback was positive.
Discussion:
Results indicate that wider implementation of the TIA/Stroke EDS tool is feasible.
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