Waje-Andreassen Ulrike, Nabavi Darius G, Engelter Stefan T, Dippel Diederik Wj, Jenkinson Damian, Skoda Ondrej, Zini Andrea, Orken Dilek N, Staikov Ivan, Lyrer Philippe
Department of Neurology, Centre for Neurovascular Diseases, Haukeland University Hospital, Bergen, Norway.
Stroke Centre and Department of Neurology and Neurorehabilitation, Vivantes Hospital Neukölln, Berlin, Germany.
Eur Stroke J. 2018 Sep;3(3):220-226. doi: 10.1177/2396987318778971. Epub 2018 May 24.
To improve quality and to overcome the wide discrepancies in stroke care both within- and between European countries, the European Stroke Organisation Executive Committee initiated in 2007 activities to establish certification processes for stroke units and stroke centres. The rapidly expanding evidence base in stroke care provided the mandate for the European Stroke Organisation Stroke Unit-Committee to develop certification procedures for stroke units and stroke centres with the goals of setting standards for stroke treatment in Europe, improving quality and minimising variation. The purpose of this article is to present the certification criteria and the auditing process for stroke units and stroke centres that aim to standardise and harmonise care for stroke patients, and hence become members of the European Stroke Organisation Stroke Unit and Stroke Centre network. Standardised application forms and guidelines for national and international auditors have been developed and updated by members of the European Stroke Organisation Stroke Unit-Committee. Key features are availability of trained personnel, diagnostic equipment, acute treatment and collaboration with other stroke-caregivers. After submission, the application is reviewed by one national and two international auditors. Based on their reports, the Stroke Unit-Committee will make a final decision. Validating on-site visits for a subset of stroke units and stroke centres are planned. We herein describe a novel, European Stroke Organisation-based online certification process of stroke units and stroke centres. This is a major step forward towards high-quality stroke care across Europe. The additional value by connecting high-quality European Stroke Organisation Stroke Unit and Stroke Centre is facilitation of future collaboration and research activities, enabling building and maintenance of a high-quality stroke care network in Europe.
为提高质量并克服欧洲国家内部和之间在卒中护理方面存在的巨大差异，欧洲卒中组织执行委员会于2007年启动了相关活动，以建立卒中单元和卒中中心的认证程序。卒中护理领域迅速扩大的证据基础为欧洲卒中组织卒中单元委员会制定卒中单元和卒中中心的认证程序提供了授权，目标是设定欧洲卒中治疗标准、提高质量并减少差异。本文的目的是介绍旨在使卒中患者护理标准化和协调化，从而成为欧洲卒中组织卒中单元和卒中中心网络成员的卒中单元和卒中中心的认证标准及审核流程。欧洲卒中组织卒中单元委员会成员已制定并更新了针对国家和国际审核员的标准化申请表及指南。关键特征包括有经过培训的人员、诊断设备、急性治疗以及与其他卒中护理人员的协作。申请提交后，将由一名国家审核员和两名国际审核员进行评审。根据他们的报告，卒中单元委员会将做出最终决定。计划对一部分卒中单元和卒中中心进行现场验证访问。我们在此描述一种基于欧洲卒中组织的新颖的卒中单元和卒中中心在线认证流程。这是迈向全欧洲高质量卒中护理的重要一步。连接高质量的欧洲卒中组织卒中单元和卒中中心的额外价值在于促进未来的协作和研究活动，从而在欧洲建立并维持一个高质量的卒中护理网络。
