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Optimizing Our Response to In-Hospital Stroke
A National Stroke Association Grand Rounds Series

Grand rounds series only available to pilot sites of the Improving In-Hospital Stroke Response: A Team-based Quality Improvement Program.

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The Program
Current evidence-based stroke treatment has its primary focus on patients who enter the hospital with stroke symptoms through the emergency department, which includes staff well-trained to recognize the signs and symptoms of stroke. Written protocols summon an interdisciplinary stroke team with clear responsibilities, procedures, and a sense of urgency for diagnosing and initiating appropriate treatment for patients who have just entered the hospital. Unfortunately, when patients are already in the hospital for other reasons and they experience a stroke, their symptoms may be misinterpreted and the absence of standard procedures or inpatient acute stroke response teams often results in significant delays in diagnosis and treatment.

Current educational initiatives do not adequately address the issues pertaining to the patient already hospitalized who suffers a new ischemic stroke. There is opportunity to remediate this deficiency by educating physicians, stroke program coordinators, nurses and other hospital personnel on the unique risk factors, barriers to timely evaluation, and treatment options for stroke in this population. It is imperative that all hospital personnel be educated to recognize the signs and symptoms of stroke.

Goals and Learning Objectives
The goal of this grand rounds series is to raise awareness of treatment gaps for in-hospital stroke (compared to out-of-hospital strokes) and to provide hospital teams with strategies, tools, and structured coaching to improve patient care.

Upon completion of the grand rounds program, participants should be able to:

  • Define in-hospital stroke as a target for optimizing quality of stroke care
  • Identify risk factors for in-hospital strokes
  • Discuss potential strategies for optimizing in-hospital stroke care

Program Content was Developed by:
Ethan Cumbler, MD
Director, Acute Care for the Elderly Service
University of Colorado
Denver, Colorado

Soojin Park, MD
Assistant Professor of Neurology
University of Pennsylvania
Philadelphia, PA

Physician Accreditation
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Medical Education Resources and the National Stroke Association. Medical Education Resources is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation
Medical Education Resources designates this educational activity for a maximum 1.0 AMA PRA Category 1 credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Nursing Accreditation
Medical Education Resources is an approved provider of continuing nursing education by the Colorado Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

This CE activity provides 1.0 contact hours. Provider approval expires July 31, 2010.

Provider approved by the California Board of Registered Nursing, Provider #CEP 12299, for 1.0 contact hours.

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(Registration open to employees of site hospital only.)

Please contact Valerie Siebert-Thomas at vsiebert-thomas@stroke.org or (303) 754-0926 for any questions.


The educational program is sponsored by an educational grant from Genentech, Inc. and support from Penumbra, Inc.

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Get Involved

Stroke and You

National Stroke Association

1-800-STROKES
1-800-787-6537
9707 E. Easter Lane, Suite B
Centennial, CO 80112
info@stroke.org