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[Certification criteria for stroke units in Germany : Update 2018]
Darius G Nabavi1, Hans-Christian Koennecke2, Martin Ossenbrink3
1Klinik für Neurologie mit Stroke Unit, Vivantes Klinikum Neukölln, Rudower Str. 48, 12351, Berlin, Deutschland. darius.nabavi@vivantes.de.
Der Nervenarzt
|October 31, 2018
Summary
Revised German stroke unit (SU) criteria from October 2018 include a new staff quota and enhanced imaging standards for acute stroke care. Extended atrial fibrillation detection and updated telemedicine requirements aim to improve patient outcomes and streamline certification processes.
Area of Science:
- Neurology
- Quality Management in Healthcare
- Medical Device Technology
Background:
- The quality of care in German stroke units (SU) is high, necessitating only minor adjustments to existing certification criteria.
- Previous criteria required updates to reflect current treatment realities and diagnostic advancements.
Purpose of the Study:
- To outline the revised certification criteria for stroke units in Germany, effective October 1, 2018.
- To enhance the quality of acute stroke care through updated personnel, diagnostic, and telemedicine standards.
Main Methods:
- Revision of existing certification criteria for stroke units.
- Introduction of a uniform personnel quota (≥1.75 full-time staff per monitor bed).
- Inclusion of specific minimum rates for acute vascular imaging (CTA/MRA) and extended atrial fibrillation detection.
Main Results:
- New uniform personnel quota established.
- Minimum rate of 20% for acute vascular imaging (CTA/MRA) for brain infarcts introduced.
- Extended detection of atrial fibrillation mandated as a diagnostic minimum standard.
- Reduced minimum patient standard (≥200/year) for telemedically supplied stroke units (Tele-SU).
Conclusions:
- The revised criteria aim to improve the timely identification of stroke patients suitable for endovascular thrombectomy.
- Updated standards for personnel, diagnostics, and telemedicine are expected to enhance overall stroke care quality.
- Emphasis is placed on continuous quality improvement beyond minimum requirements.
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