Jeffrey Mann has done some provocative reviews on the acute management issues:
http://emguidemaps.homestead.com/JeffMannEMguidemaps.html
jeanne
-----Original Message-----
From: Raymond Leung [SMTP:[log in to unmask]]
Sent: Friday, June 02, 2000 7:41 PM
To: [log in to unmask]; [log in to unmask]
Subject: RE: evidence-based patient pathway for stroke
I know a neurologist who was is the University of Alberta Canada, where I'm
a internal medicine resident.
He pioneered the implementation of "STROKENET" which is similar to what you
proposed.
His name is Andrew Penn. However he was way ahead of his time and the
project fell apart due to financial and political difficulties in 1997. You
can view some of the information at the following links:
http://www.hc-sc.gc.ca/ohih-bsi/whatfund/hihsp/comp_award/stroke-net_e.html
http://www.medlib.com/spi/sgs.htm
http://www.healthforum.com/thfnet/th950104.htm
http://www.ahfmr.ab.ca/publications/techcomm/october97/synapse.html
He is presently in Victoria BC, as a professor in medical informatics. I
heard he's in the process in bring it back as seen in a recent canada helth
informatics proposal.
you can reach him at [log in to unmask]
Regards,
Raymond Leung, MDCM
Cardiology Fellow
University of Alberta
[log in to unmask]
-----Original Message-----
From: [log in to unmask]
[mailto:[log in to unmask]]On Behalf Of
[log in to unmask]
Sent: Friday, June 02, 2000 9:01 AM
To: [log in to unmask]
Subject: evidence-based patient pathway for stroke
Dear all,
I want to produce an 'evidence-based patient pathway' for management of
stroke (from management of acute stroke through to rehabilitation, secondary
prevention etc.). this can then be used as an evaluation tool to assess
whether current practice in my district is evidence-based.
I think I have identified all the relevant sources of evidence (including
the RCP guidelines, SIGN guidelines, Cochrane reviews, Canadian guidelines,
AHA guidelines etc.) and I know that in England the forthcoming National
Service Framework for older people will cover stroke.
Does anyone know of any similar work regarding development of an
evidence-based patient pathway model (whether in the area of stroke care or
otherwise) that can be used to assess current practice? Please email me if
you can help.
Kind regards,
Dr John Powell
Specialist Registrar in Public Health Medicine
Buckinghamshire Health Authority
[log in to unmask]
+44 (0)1296 310143
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