Home > Research > Publications & Outputs > The challenges of implementing a telestroke net...
View graph of relations

The challenges of implementing a telestroke network: a systematic review and case study

Research output: Contribution to journalJournal article

Published

Standard

The challenges of implementing a telestroke network : a systematic review and case study. / French, Beverley; Day, Elaine; Watkins, Caroline; McLoughlin, Alison; Fitzgerald, Jane; Leathley, Michael; Davies, Paul; Emsley, Hedley; Ford, Gary; Jenkinson, Damian; May, Carl; O'Donnell, Mark; Price, Christopher; Sutton, Christopher; Lightbody, Catherine.

In: BMC Medical Informatics and Decision Making, Vol. 13, No. 1, 125, 14.11.2013.

Research output: Contribution to journalJournal article

Harvard

French, B, Day, E, Watkins, C, McLoughlin, A, Fitzgerald, J, Leathley, M, Davies, P, Emsley, H, Ford, G, Jenkinson, D, May, C, O'Donnell, M, Price, C, Sutton, C & Lightbody, C 2013, 'The challenges of implementing a telestroke network: a systematic review and case study', BMC Medical Informatics and Decision Making, vol. 13, no. 1, 125. https://doi.org/10.1186/1472-6947-13-125

APA

French, B., Day, E., Watkins, C., McLoughlin, A., Fitzgerald, J., Leathley, M., Davies, P., Emsley, H., Ford, G., Jenkinson, D., May, C., O'Donnell, M., Price, C., Sutton, C., & Lightbody, C. (2013). The challenges of implementing a telestroke network: a systematic review and case study. BMC Medical Informatics and Decision Making, 13(1), [125]. https://doi.org/10.1186/1472-6947-13-125

Vancouver

French B, Day E, Watkins C, McLoughlin A, Fitzgerald J, Leathley M et al. The challenges of implementing a telestroke network: a systematic review and case study. BMC Medical Informatics and Decision Making. 2013 Nov 14;13(1). 125. https://doi.org/10.1186/1472-6947-13-125

Author

French, Beverley ; Day, Elaine ; Watkins, Caroline ; McLoughlin, Alison ; Fitzgerald, Jane ; Leathley, Michael ; Davies, Paul ; Emsley, Hedley ; Ford, Gary ; Jenkinson, Damian ; May, Carl ; O'Donnell, Mark ; Price, Christopher ; Sutton, Christopher ; Lightbody, Catherine. / The challenges of implementing a telestroke network : a systematic review and case study. In: BMC Medical Informatics and Decision Making. 2013 ; Vol. 13, No. 1.

Bibtex

@article{a2f32f26160c43619e5760207033f0a4,
title = "The challenges of implementing a telestroke network: a systematic review and case study",
abstract = "Background: The use of telemedicine in acute stroke care can facilitate rapid access to treatment, but the work required to embed any new technology into routine practice is often hidden, and can be challenging. We aimed to collate recommendations and resources to support telestroke implementation. Methods. Systematic search of healthcare databases and the Internet to identify descriptions of the implementation of telestroke projects; interviews with key stakeholders during the development of one UK telestroke network. Supporting documentation from existing projects was analysed to construct a framework of implementation stages and tasks, and a toolkit of documents. Interviews and literature were analysed with other data sources using Normalisation Process Theory as described in the e-Health Implementation Toolkit. Results: 61 telestroke projects were identified and contacted. Twenty projects provided documents, 13 with published research detailing four stages of telestroke system development, implementation, use, and evaluation. Interviewees identified four main challenges: engaging and maintaining the commitment of a wide range of stakeholders across multiple organisations; addressing clinicians perceptions of evidence, workload, and payback; managing clinical and technical workability across diverse settings; and monitoring how the system is used and reconfigured by users. Conclusions: Information to guide telestroke implementation is sparse, but available. By using multiple sources of data, sufficient information was collated to construct a web-based toolkit detailing implementation tasks, resources and challenges in the development of a telestroke system for assessment and thrombolysis delivery in acute care. The toolkit is freely available online.",
author = "Beverley French and Elaine Day and Caroline Watkins and Alison McLoughlin and Jane Fitzgerald and Michael Leathley and Paul Davies and Hedley Emsley and Gary Ford and Damian Jenkinson and Carl May and Mark O'Donnell and Christopher Price and Christopher Sutton and Catherine Lightbody",
year = "2013",
month = nov,
day = "14",
doi = "10.1186/1472-6947-13-125",
language = "English",
volume = "13",
journal = "BMC Medical Informatics and Decision Making",
number = "1",

}

RIS

TY - JOUR

T1 - The challenges of implementing a telestroke network

T2 - a systematic review and case study

AU - French, Beverley

AU - Day, Elaine

AU - Watkins, Caroline

AU - McLoughlin, Alison

AU - Fitzgerald, Jane

AU - Leathley, Michael

AU - Davies, Paul

AU - Emsley, Hedley

AU - Ford, Gary

AU - Jenkinson, Damian

AU - May, Carl

AU - O'Donnell, Mark

AU - Price, Christopher

AU - Sutton, Christopher

AU - Lightbody, Catherine

PY - 2013/11/14

Y1 - 2013/11/14

N2 - Background: The use of telemedicine in acute stroke care can facilitate rapid access to treatment, but the work required to embed any new technology into routine practice is often hidden, and can be challenging. We aimed to collate recommendations and resources to support telestroke implementation. Methods. Systematic search of healthcare databases and the Internet to identify descriptions of the implementation of telestroke projects; interviews with key stakeholders during the development of one UK telestroke network. Supporting documentation from existing projects was analysed to construct a framework of implementation stages and tasks, and a toolkit of documents. Interviews and literature were analysed with other data sources using Normalisation Process Theory as described in the e-Health Implementation Toolkit. Results: 61 telestroke projects were identified and contacted. Twenty projects provided documents, 13 with published research detailing four stages of telestroke system development, implementation, use, and evaluation. Interviewees identified four main challenges: engaging and maintaining the commitment of a wide range of stakeholders across multiple organisations; addressing clinicians perceptions of evidence, workload, and payback; managing clinical and technical workability across diverse settings; and monitoring how the system is used and reconfigured by users. Conclusions: Information to guide telestroke implementation is sparse, but available. By using multiple sources of data, sufficient information was collated to construct a web-based toolkit detailing implementation tasks, resources and challenges in the development of a telestroke system for assessment and thrombolysis delivery in acute care. The toolkit is freely available online.

AB - Background: The use of telemedicine in acute stroke care can facilitate rapid access to treatment, but the work required to embed any new technology into routine practice is often hidden, and can be challenging. We aimed to collate recommendations and resources to support telestroke implementation. Methods. Systematic search of healthcare databases and the Internet to identify descriptions of the implementation of telestroke projects; interviews with key stakeholders during the development of one UK telestroke network. Supporting documentation from existing projects was analysed to construct a framework of implementation stages and tasks, and a toolkit of documents. Interviews and literature were analysed with other data sources using Normalisation Process Theory as described in the e-Health Implementation Toolkit. Results: 61 telestroke projects were identified and contacted. Twenty projects provided documents, 13 with published research detailing four stages of telestroke system development, implementation, use, and evaluation. Interviewees identified four main challenges: engaging and maintaining the commitment of a wide range of stakeholders across multiple organisations; addressing clinicians perceptions of evidence, workload, and payback; managing clinical and technical workability across diverse settings; and monitoring how the system is used and reconfigured by users. Conclusions: Information to guide telestroke implementation is sparse, but available. By using multiple sources of data, sufficient information was collated to construct a web-based toolkit detailing implementation tasks, resources and challenges in the development of a telestroke system for assessment and thrombolysis delivery in acute care. The toolkit is freely available online.

U2 - 10.1186/1472-6947-13-125

DO - 10.1186/1472-6947-13-125

M3 - Journal article

C2 - 24229343

AN - SCOPUS:84887352281

VL - 13

JO - BMC Medical Informatics and Decision Making

JF - BMC Medical Informatics and Decision Making

IS - 1

M1 - 125

ER -