Simulation-based team training improves door-to-needle time for intravenous thrombolysis Article Swipe
Veronika Svobodová
,
Hana Maršálková
,
Ekaterina Volevach
,
Robert Mikulík
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1136/bmjoq-2022-002107
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1136/bmjoq-2022-002107
Purpose There is a clinical need for shortened door-to-needle time (DNT) for intravenous thrombolysis, but effective training methods are missing. Simulation training improves teamwork and logistics in numerous fields. Still, it is not clear if simulation improves logistics in stroke. Methods To evaluate the efficiency of a simulation training programme, the DNT of participating centres was compared with the rest of stroke centres in the Czech Republic. Patients’ data were prospectively collected from the nationally used Safe Implementation of Treatments in Stroke Registry. The outcome was an improvement in DNT in 2018 as compared with 2015 (after and before the simulation training). Scenarios were based on real clinical cases, and simulation courses were conducted in a standardly equipped simulation centre. Findings Between 2016 and 2017, 10 courses were conducted for stroke teams from 9 of all 45 stroke centres. DNT data were available both in 2015 and 2018 from 41 (91%) stroke centres. The simulation training improved the DNT in 2018 as compared with 2015 by 30 min (95% CI 25.7 to 34.7) and as compared with 20 min (95% CI 15.8 to 24.3) in stroke centres without the simulation training (p=0.01). Any parenchymal haemorrhage occurred in 5.4% and 3.5% of patients treated in centres without and with simulation training (p=0.054), respectively. Conclusions DNT was considerably shortened nationally. It was feasible to implement simulation as a nationwide training programme. The simulation was associated with improved DNT; however, other studies should confirm that such an association is causal.
Related Topics
Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/bmjoq-2022-002107
- https://bmjopenquality.bmj.com/content/bmjqir/12/1/e002107.full.pdf
- OA Status
- gold
- Cited By
- 7
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4321452850
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4321452850Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1136/bmjoq-2022-002107Digital Object Identifier
- Title
-
Simulation-based team training improves door-to-needle time for intravenous thrombolysisWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-02-01Full publication date if available
- Authors
-
Veronika Svobodová, Hana Maršálková, Ekaterina Volevach, Robert MikulíkList of authors in order
- Landing page
-
https://doi.org/10.1136/bmjoq-2022-002107Publisher landing page
- PDF URL
-
https://bmjopenquality.bmj.com/content/bmjqir/12/1/e002107.full.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://bmjopenquality.bmj.com/content/bmjqir/12/1/e002107.full.pdfDirect OA link when available
- Concepts
-
Thrombolysis, Training (meteorology), Simulation training, Aeronautics, Medicine, Computer science, Simulation, Engineering, Internal medicine, Meteorology, Geography, Myocardial infarctionTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
7Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 6Per-year citation counts (last 5 years)
- References (count)
-
32Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
Full payload
| id | https://openalex.org/W4321452850 |
|---|---|
| doi | https://doi.org/10.1136/bmjoq-2022-002107 |
| ids.doi | https://doi.org/10.1136/bmjoq-2022-002107 |
| ids.pmid | https://pubmed.ncbi.nlm.nih.gov/36810293 |
| ids.openalex | https://openalex.org/W4321452850 |
| fwci | 2.99230974 |
| mesh[0].qualifier_ui | |
| mesh[0].descriptor_ui | D006801 |
| mesh[0].is_major_topic | False |
| mesh[0].qualifier_name | |
| mesh[0].descriptor_name | Humans |
| mesh[1].qualifier_ui | Q000379 |
| mesh[1].descriptor_ui | D015912 |
| mesh[1].is_major_topic | False |
| mesh[1].qualifier_name | methods |
| mesh[1].descriptor_name | Thrombolytic Therapy |
| mesh[2].qualifier_ui | Q000628 |
| mesh[2].descriptor_ui | D020521 |
| mesh[2].is_major_topic | True |
| mesh[2].qualifier_name | therapy |
| mesh[2].descriptor_name | Stroke |
| mesh[3].qualifier_ui | |
| mesh[3].descriptor_ui | D000066908 |
| mesh[3].is_major_topic | True |
| mesh[3].qualifier_name | |
| mesh[3].descriptor_name | Simulation Training |
| mesh[4].qualifier_ui | |
| mesh[4].descriptor_ui | D061605 |
| mesh[4].is_major_topic | False |
| mesh[4].qualifier_name | |
| mesh[4].descriptor_name | Administration, Intravenous |
| mesh[5].qualifier_ui | |
| mesh[5].descriptor_ui | D061665 |
| mesh[5].is_major_topic | False |
| mesh[5].qualifier_name | |
| mesh[5].descriptor_name | Time-to-Treatment |
| mesh[6].qualifier_ui | |
| mesh[6].descriptor_ui | D006801 |
| mesh[6].is_major_topic | False |
| mesh[6].qualifier_name | |
| mesh[6].descriptor_name | Humans |
| mesh[7].qualifier_ui | Q000379 |
| mesh[7].descriptor_ui | D015912 |
| mesh[7].is_major_topic | False |
| mesh[7].qualifier_name | methods |
| mesh[7].descriptor_name | Thrombolytic Therapy |
| mesh[8].qualifier_ui | Q000628 |
| mesh[8].descriptor_ui | D020521 |
| mesh[8].is_major_topic | True |
| mesh[8].qualifier_name | therapy |
| mesh[8].descriptor_name | Stroke |
| mesh[9].qualifier_ui | |
| mesh[9].descriptor_ui | D000066908 |
| mesh[9].is_major_topic | True |
| mesh[9].qualifier_name | |
| mesh[9].descriptor_name | Simulation Training |
| mesh[10].qualifier_ui | |
| mesh[10].descriptor_ui | D061605 |
| mesh[10].is_major_topic | False |
| mesh[10].qualifier_name | |
| mesh[10].descriptor_name | Administration, Intravenous |
| mesh[11].qualifier_ui | |
| mesh[11].descriptor_ui | D061665 |
| mesh[11].is_major_topic | False |
| mesh[11].qualifier_name | |
| mesh[11].descriptor_name | Time-to-Treatment |
| type | article |
| title | Simulation-based team training improves door-to-needle time for intravenous thrombolysis |
| biblio.issue | 1 |
| biblio.volume | 12 |
| biblio.last_page | e002107 |
| biblio.first_page | e002107 |
| grants[0].funder | https://openalex.org/F4320320366 |
| grants[0].award_id | CA18118 |
| grants[0].funder_display_name | European Cooperation in Science and Technology |
| topics[0].id | https://openalex.org/T10285 |
| topics[0].field.id | https://openalex.org/fields/27 |
| topics[0].field.display_name | Medicine |
| topics[0].score | 0.998199999332428 |
| topics[0].domain.id | https://openalex.org/domains/4 |
| topics[0].domain.display_name | Health Sciences |
| topics[0].subfield.id | https://openalex.org/subfields/2724 |
| topics[0].subfield.display_name | Internal Medicine |
| topics[0].display_name | Venous Thromboembolism Diagnosis and Management |
| topics[1].id | https://openalex.org/T10227 |
| topics[1].field.id | https://openalex.org/fields/27 |
| topics[1].field.display_name | Medicine |
| topics[1].score | 0.9969000220298767 |
| topics[1].domain.id | https://openalex.org/domains/4 |
| topics[1].domain.display_name | Health Sciences |
| topics[1].subfield.id | https://openalex.org/subfields/2713 |
| topics[1].subfield.display_name | Epidemiology |
| topics[1].display_name | Acute Ischemic Stroke Management |
| topics[2].id | https://openalex.org/T10510 |
| topics[2].field.id | https://openalex.org/fields/27 |
| topics[2].field.display_name | Medicine |
| topics[2].score | 0.9944999814033508 |
| topics[2].domain.id | https://openalex.org/domains/4 |
| topics[2].domain.display_name | Health Sciences |
| topics[2].subfield.id | https://openalex.org/subfields/2742 |
| topics[2].subfield.display_name | Rehabilitation |
| topics[2].display_name | Stroke Rehabilitation and Recovery |
| funders[0].id | https://openalex.org/F4320320366 |
| funders[0].ror | https://ror.org/01bstzn19 |
| funders[0].display_name | European Cooperation in Science and Technology |
| is_xpac | False |
| apc_list.value | 1500 |
| apc_list.currency | GBP |
| apc_list.value_usd | 1839 |
| apc_paid.value | 1500 |
| apc_paid.currency | GBP |
| apc_paid.value_usd | 1839 |
| concepts[0].id | https://openalex.org/C2779581417 |
| concepts[0].level | 3 |
| concepts[0].score | 0.7508301138877869 |
| concepts[0].wikidata | https://www.wikidata.org/wiki/Q1931577 |
| concepts[0].display_name | Thrombolysis |
| concepts[1].id | https://openalex.org/C2777211547 |
| concepts[1].level | 2 |
| concepts[1].score | 0.6675114035606384 |
| concepts[1].wikidata | https://www.wikidata.org/wiki/Q17141490 |
| concepts[1].display_name | Training (meteorology) |
| concepts[2].id | https://openalex.org/C3018222959 |
| concepts[2].level | 2 |
| concepts[2].score | 0.42586660385131836 |
| concepts[2].wikidata | https://www.wikidata.org/wiki/Q7832986 |
| concepts[2].display_name | Simulation training |
| concepts[3].id | https://openalex.org/C178802073 |
| concepts[3].level | 1 |
| concepts[3].score | 0.3937879204750061 |
| concepts[3].wikidata | https://www.wikidata.org/wiki/Q8421 |
| concepts[3].display_name | Aeronautics |
| concepts[4].id | https://openalex.org/C71924100 |
| concepts[4].level | 0 |
| concepts[4].score | 0.38380369544029236 |
| concepts[4].wikidata | https://www.wikidata.org/wiki/Q11190 |
| concepts[4].display_name | Medicine |
| concepts[5].id | https://openalex.org/C41008148 |
| concepts[5].level | 0 |
| concepts[5].score | 0.35773271322250366 |
| concepts[5].wikidata | https://www.wikidata.org/wiki/Q21198 |
| concepts[5].display_name | Computer science |
| concepts[6].id | https://openalex.org/C44154836 |
| concepts[6].level | 1 |
| concepts[6].score | 0.29519063234329224 |
| concepts[6].wikidata | https://www.wikidata.org/wiki/Q45045 |
| concepts[6].display_name | Simulation |
| concepts[7].id | https://openalex.org/C127413603 |
| concepts[7].level | 0 |
| concepts[7].score | 0.2455718219280243 |
| concepts[7].wikidata | https://www.wikidata.org/wiki/Q11023 |
| concepts[7].display_name | Engineering |
| concepts[8].id | https://openalex.org/C126322002 |
| concepts[8].level | 1 |
| concepts[8].score | 0.13656586408615112 |
| concepts[8].wikidata | https://www.wikidata.org/wiki/Q11180 |
| concepts[8].display_name | Internal medicine |
| concepts[9].id | https://openalex.org/C153294291 |
| concepts[9].level | 1 |
| concepts[9].score | 0.0988277792930603 |
| concepts[9].wikidata | https://www.wikidata.org/wiki/Q25261 |
| concepts[9].display_name | Meteorology |
| concepts[10].id | https://openalex.org/C205649164 |
| concepts[10].level | 0 |
| concepts[10].score | 0.07433280348777771 |
| concepts[10].wikidata | https://www.wikidata.org/wiki/Q1071 |
| concepts[10].display_name | Geography |
| concepts[11].id | https://openalex.org/C500558357 |
| concepts[11].level | 2 |
| concepts[11].score | 0.0 |
| concepts[11].wikidata | https://www.wikidata.org/wiki/Q12152 |
| concepts[11].display_name | Myocardial infarction |
| keywords[0].id | https://openalex.org/keywords/thrombolysis |
| keywords[0].score | 0.7508301138877869 |
| keywords[0].display_name | Thrombolysis |
| keywords[1].id | https://openalex.org/keywords/training |
| keywords[1].score | 0.6675114035606384 |
| keywords[1].display_name | Training (meteorology) |
| keywords[2].id | https://openalex.org/keywords/simulation-training |
| keywords[2].score | 0.42586660385131836 |
| keywords[2].display_name | Simulation training |
| keywords[3].id | https://openalex.org/keywords/aeronautics |
| keywords[3].score | 0.3937879204750061 |
| keywords[3].display_name | Aeronautics |
| keywords[4].id | https://openalex.org/keywords/medicine |
| keywords[4].score | 0.38380369544029236 |
| keywords[4].display_name | Medicine |
| keywords[5].id | https://openalex.org/keywords/computer-science |
| keywords[5].score | 0.35773271322250366 |
| keywords[5].display_name | Computer science |
| keywords[6].id | https://openalex.org/keywords/simulation |
| keywords[6].score | 0.29519063234329224 |
| keywords[6].display_name | Simulation |
| keywords[7].id | https://openalex.org/keywords/engineering |
| keywords[7].score | 0.2455718219280243 |
| keywords[7].display_name | Engineering |
| keywords[8].id | https://openalex.org/keywords/internal-medicine |
| keywords[8].score | 0.13656586408615112 |
| keywords[8].display_name | Internal medicine |
| keywords[9].id | https://openalex.org/keywords/meteorology |
| keywords[9].score | 0.0988277792930603 |
| keywords[9].display_name | Meteorology |
| keywords[10].id | https://openalex.org/keywords/geography |
| keywords[10].score | 0.07433280348777771 |
| keywords[10].display_name | Geography |
| language | en |
| locations[0].id | doi:10.1136/bmjoq-2022-002107 |
| locations[0].is_oa | True |
| locations[0].source.id | https://openalex.org/S4210206356 |
| locations[0].source.issn | 2399-6641 |
| locations[0].source.type | journal |
| locations[0].source.is_oa | True |
| locations[0].source.issn_l | 2399-6641 |
| locations[0].source.is_core | True |
| locations[0].source.is_in_doaj | True |
| locations[0].source.display_name | BMJ Open Quality |
| locations[0].source.host_organization | https://openalex.org/P4310319945 |
| locations[0].source.host_organization_name | BMJ |
| locations[0].source.host_organization_lineage | https://openalex.org/P4310319945 |
| locations[0].license | cc-by-nc |
| locations[0].pdf_url | https://bmjopenquality.bmj.com/content/bmjqir/12/1/e002107.full.pdf |
| locations[0].version | publishedVersion |
| locations[0].raw_type | journal-article |
| locations[0].license_id | https://openalex.org/licenses/cc-by-nc |
| locations[0].is_accepted | True |
| locations[0].is_published | True |
| locations[0].raw_source_name | BMJ Open Quality |
| locations[0].landing_page_url | https://doi.org/10.1136/bmjoq-2022-002107 |
| locations[1].id | pmid:36810293 |
| locations[1].is_oa | False |
| locations[1].source.id | https://openalex.org/S4306525036 |
| locations[1].source.issn | |
| locations[1].source.type | repository |
| locations[1].source.is_oa | False |
| locations[1].source.issn_l | |
| locations[1].source.is_core | False |
| locations[1].source.is_in_doaj | False |
| locations[1].source.display_name | PubMed |
| locations[1].source.host_organization | https://openalex.org/I1299303238 |
| locations[1].source.host_organization_name | National Institutes of Health |
| locations[1].source.host_organization_lineage | https://openalex.org/I1299303238 |
| locations[1].license | |
| locations[1].pdf_url | |
| locations[1].version | publishedVersion |
| locations[1].raw_type | |
| locations[1].license_id | |
| locations[1].is_accepted | True |
| locations[1].is_published | True |
| locations[1].raw_source_name | BMJ open quality |
| locations[1].landing_page_url | https://pubmed.ncbi.nlm.nih.gov/36810293 |
| locations[2].id | pmh:oai:open-archive.highwire.org:bmjqir:12/1/e002107 |
| locations[2].is_oa | False |
| locations[2].source | |
| locations[2].license | |
| locations[2].pdf_url | |
| locations[2].version | submittedVersion |
| locations[2].raw_type | TEXT |
| locations[2].license_id | |
| locations[2].is_accepted | False |
| locations[2].is_published | False |
| locations[2].raw_source_name | |
| locations[2].landing_page_url | http://bmjopenquality.bmj.com/cgi/content/short/12/1/e002107 |
| locations[3].id | pmh:oai:doaj.org/article:6c67536ae9524ff1bfb2c4fc863b6f9b |
| locations[3].is_oa | False |
| locations[3].source.id | https://openalex.org/S4306401280 |
| locations[3].source.issn | |
| locations[3].source.type | repository |
| locations[3].source.is_oa | False |
| locations[3].source.issn_l | |
| locations[3].source.is_core | False |
| locations[3].source.is_in_doaj | False |
| locations[3].source.display_name | DOAJ (DOAJ: Directory of Open Access Journals) |
| locations[3].source.host_organization | |
| locations[3].source.host_organization_name | |
| locations[3].source.host_organization_lineage | |
| locations[3].license | |
| locations[3].pdf_url | |
| locations[3].version | submittedVersion |
| locations[3].raw_type | article |
| locations[3].license_id | |
| locations[3].is_accepted | False |
| locations[3].is_published | False |
| locations[3].raw_source_name | BMJ Open Quality, Vol 12, Iss 1 (2023) |
| locations[3].landing_page_url | https://doaj.org/article/6c67536ae9524ff1bfb2c4fc863b6f9b |
| locations[4].id | pmh:oai:pubmedcentral.nih.gov:9944663 |
| locations[4].is_oa | True |
| locations[4].source.id | https://openalex.org/S2764455111 |
| locations[4].source.issn | |
| locations[4].source.type | repository |
| locations[4].source.is_oa | False |
| locations[4].source.issn_l | |
| locations[4].source.is_core | False |
| locations[4].source.is_in_doaj | False |
| locations[4].source.display_name | PubMed Central |
| locations[4].source.host_organization | https://openalex.org/I1299303238 |
| locations[4].source.host_organization_name | National Institutes of Health |
| locations[4].source.host_organization_lineage | https://openalex.org/I1299303238 |
| locations[4].license | other-oa |
| locations[4].pdf_url | |
| locations[4].version | submittedVersion |
| locations[4].raw_type | Text |
| locations[4].license_id | https://openalex.org/licenses/other-oa |
| locations[4].is_accepted | False |
| locations[4].is_published | False |
| locations[4].raw_source_name | BMJ Open Qual |
| locations[4].landing_page_url | https://www.ncbi.nlm.nih.gov/pmc/articles/9944663 |
| indexed_in | crossref, doaj, pubmed |
| authorships[0].author.id | https://openalex.org/A5000034720 |
| authorships[0].author.orcid | |
| authorships[0].author.display_name | Veronika Svobodová |
| authorships[0].countries | CZ, US |
| authorships[0].affiliations[0].institution_ids | https://openalex.org/I4210136987 |
| authorships[0].affiliations[0].raw_affiliation_string | St Anne's University Hospital in Brno |
| authorships[0].affiliations[1].institution_ids | https://openalex.org/I4210126592 |
| authorships[0].affiliations[1].raw_affiliation_string | International Clinical Research Center |
| authorships[0].institutions[0].id | https://openalex.org/I4210136987 |
| authorships[0].institutions[0].ror | https://ror.org/049bjee35 |
| authorships[0].institutions[0].type | healthcare |
| authorships[0].institutions[0].lineage | https://openalex.org/I4210136987 |
| authorships[0].institutions[0].country_code | CZ |
| authorships[0].institutions[0].display_name | St. Anne's University Hospital Brno |
| authorships[0].institutions[1].id | https://openalex.org/I4210126592 |
| authorships[0].institutions[1].ror | https://ror.org/03ddkvp86 |
| authorships[0].institutions[1].type | facility |
| authorships[0].institutions[1].lineage | https://openalex.org/I4210126592 |
| authorships[0].institutions[1].country_code | US |
| authorships[0].institutions[1].display_name | National Clinical Research |
| authorships[0].author_position | first |
| authorships[0].raw_author_name | Veronika Svobodová |
| authorships[0].is_corresponding | False |
| authorships[0].raw_affiliation_strings | International Clinical Research Center, St Anne's University Hospital in Brno |
| authorships[1].author.id | https://openalex.org/A5025565781 |
| authorships[1].author.orcid | https://orcid.org/0000-0001-7994-4247 |
| authorships[1].author.display_name | Hana Maršálková |
| authorships[1].countries | CZ, US |
| authorships[1].affiliations[0].institution_ids | https://openalex.org/I4210126592 |
| authorships[1].affiliations[0].raw_affiliation_string | International Clinical Research Center |
| authorships[1].affiliations[1].institution_ids | https://openalex.org/I4210136987 |
| authorships[1].affiliations[1].raw_affiliation_string | St Anne's University Hospital in Brno |
| authorships[1].institutions[0].id | https://openalex.org/I4210136987 |
| authorships[1].institutions[0].ror | https://ror.org/049bjee35 |
| authorships[1].institutions[0].type | healthcare |
| authorships[1].institutions[0].lineage | https://openalex.org/I4210136987 |
| authorships[1].institutions[0].country_code | CZ |
| authorships[1].institutions[0].display_name | St. Anne's University Hospital Brno |
| authorships[1].institutions[1].id | https://openalex.org/I4210126592 |
| authorships[1].institutions[1].ror | https://ror.org/03ddkvp86 |
| authorships[1].institutions[1].type | facility |
| authorships[1].institutions[1].lineage | https://openalex.org/I4210126592 |
| authorships[1].institutions[1].country_code | US |
| authorships[1].institutions[1].display_name | National Clinical Research |
| authorships[1].author_position | middle |
| authorships[1].raw_author_name | Hana Maršálková |
| authorships[1].is_corresponding | False |
| authorships[1].raw_affiliation_strings | International Clinical Research Center, St Anne's University Hospital in Brno |
| authorships[2].author.id | https://openalex.org/A5046825445 |
| authorships[2].author.orcid | https://orcid.org/0000-0001-5157-3616 |
| authorships[2].author.display_name | Ekaterina Volevach |
| authorships[2].countries | CZ, US |
| authorships[2].affiliations[0].institution_ids | https://openalex.org/I4210136987 |
| authorships[2].affiliations[0].raw_affiliation_string | St Anne's University Hospital in Brno |
| authorships[2].affiliations[1].institution_ids | https://openalex.org/I4210126592 |
| authorships[2].affiliations[1].raw_affiliation_string | International Clinical Research Center |
| authorships[2].institutions[0].id | https://openalex.org/I4210136987 |
| authorships[2].institutions[0].ror | https://ror.org/049bjee35 |
| authorships[2].institutions[0].type | healthcare |
| authorships[2].institutions[0].lineage | https://openalex.org/I4210136987 |
| authorships[2].institutions[0].country_code | CZ |
| authorships[2].institutions[0].display_name | St. Anne's University Hospital Brno |
| authorships[2].institutions[1].id | https://openalex.org/I4210126592 |
| authorships[2].institutions[1].ror | https://ror.org/03ddkvp86 |
| authorships[2].institutions[1].type | facility |
| authorships[2].institutions[1].lineage | https://openalex.org/I4210126592 |
| authorships[2].institutions[1].country_code | US |
| authorships[2].institutions[1].display_name | National Clinical Research |
| authorships[2].author_position | middle |
| authorships[2].raw_author_name | Ekaterina Volevach |
| authorships[2].is_corresponding | False |
| authorships[2].raw_affiliation_strings | International Clinical Research Center, St Anne's University Hospital in Brno |
| authorships[3].author.id | https://openalex.org/A5068657718 |
| authorships[3].author.orcid | https://orcid.org/0000-0002-7458-5166 |
| authorships[3].author.display_name | Robert Mikulík |
| authorships[3].countries | CZ, US |
| authorships[3].affiliations[0].raw_affiliation_string | Department of Neurology |
| authorships[3].affiliations[1].institution_ids | https://openalex.org/I4210126592 |
| authorships[3].affiliations[1].raw_affiliation_string | International Clinical Research Center |
| authorships[3].affiliations[2].institution_ids | https://openalex.org/I21449261 |
| authorships[3].affiliations[2].raw_affiliation_string | Masaryk University Faculty of Medicine |
| authorships[3].affiliations[3].institution_ids | https://openalex.org/I4210136987 |
| authorships[3].affiliations[3].raw_affiliation_string | St Anne's University Hospital in Brno |
| authorships[3].institutions[0].id | https://openalex.org/I21449261 |
| authorships[3].institutions[0].ror | https://ror.org/02j46qs45 |
| authorships[3].institutions[0].type | education |
| authorships[3].institutions[0].lineage | https://openalex.org/I21449261 |
| authorships[3].institutions[0].country_code | CZ |
| authorships[3].institutions[0].display_name | Masaryk University |
| authorships[3].institutions[1].id | https://openalex.org/I4210136987 |
| authorships[3].institutions[1].ror | https://ror.org/049bjee35 |
| authorships[3].institutions[1].type | healthcare |
| authorships[3].institutions[1].lineage | https://openalex.org/I4210136987 |
| authorships[3].institutions[1].country_code | CZ |
| authorships[3].institutions[1].display_name | St. Anne's University Hospital Brno |
| authorships[3].institutions[2].id | https://openalex.org/I4210126592 |
| authorships[3].institutions[2].ror | https://ror.org/03ddkvp86 |
| authorships[3].institutions[2].type | facility |
| authorships[3].institutions[2].lineage | https://openalex.org/I4210126592 |
| authorships[3].institutions[2].country_code | US |
| authorships[3].institutions[2].display_name | National Clinical Research |
| authorships[3].author_position | last |
| authorships[3].raw_author_name | Robert Mikulík |
| authorships[3].is_corresponding | False |
| authorships[3].raw_affiliation_strings | Department of Neurology, International Clinical Research Center, Masaryk University Faculty of Medicine, St Anne's University Hospital in Brno |
| has_content.pdf | True |
| has_content.grobid_xml | True |
| is_paratext | False |
| open_access.is_oa | True |
| open_access.oa_url | https://bmjopenquality.bmj.com/content/bmjqir/12/1/e002107.full.pdf |
| open_access.oa_status | gold |
| open_access.any_repository_has_fulltext | False |
| created_date | 2025-10-10T00:00:00 |
| display_name | Simulation-based team training improves door-to-needle time for intravenous thrombolysis |
| has_fulltext | True |
| is_retracted | False |
| updated_date | 2025-11-06T03:46:38.306776 |
| primary_topic.id | https://openalex.org/T10285 |
| primary_topic.field.id | https://openalex.org/fields/27 |
| primary_topic.field.display_name | Medicine |
| primary_topic.score | 0.998199999332428 |
| primary_topic.domain.id | https://openalex.org/domains/4 |
| primary_topic.domain.display_name | Health Sciences |
| primary_topic.subfield.id | https://openalex.org/subfields/2724 |
| primary_topic.subfield.display_name | Internal Medicine |
| primary_topic.display_name | Venous Thromboembolism Diagnosis and Management |
| related_works | https://openalex.org/W2899084033, https://openalex.org/W2748952813, https://openalex.org/W3031052312, https://openalex.org/W4389568370, https://openalex.org/W3032375762, https://openalex.org/W1995515455, https://openalex.org/W2080531066, https://openalex.org/W3108674512, https://openalex.org/W4382585068, https://openalex.org/W2009902282 |
| cited_by_count | 7 |
| counts_by_year[0].year | 2025 |
| counts_by_year[0].cited_by_count | 1 |
| counts_by_year[1].year | 2024 |
| counts_by_year[1].cited_by_count | 6 |
| locations_count | 5 |
| best_oa_location.id | doi:10.1136/bmjoq-2022-002107 |
| best_oa_location.is_oa | True |
| best_oa_location.source.id | https://openalex.org/S4210206356 |
| best_oa_location.source.issn | 2399-6641 |
| best_oa_location.source.type | journal |
| best_oa_location.source.is_oa | True |
| best_oa_location.source.issn_l | 2399-6641 |
| best_oa_location.source.is_core | True |
| best_oa_location.source.is_in_doaj | True |
| best_oa_location.source.display_name | BMJ Open Quality |
| best_oa_location.source.host_organization | https://openalex.org/P4310319945 |
| best_oa_location.source.host_organization_name | BMJ |
| best_oa_location.source.host_organization_lineage | https://openalex.org/P4310319945 |
| best_oa_location.license | cc-by-nc |
| best_oa_location.pdf_url | https://bmjopenquality.bmj.com/content/bmjqir/12/1/e002107.full.pdf |
| best_oa_location.version | publishedVersion |
| best_oa_location.raw_type | journal-article |
| best_oa_location.license_id | https://openalex.org/licenses/cc-by-nc |
| best_oa_location.is_accepted | True |
| best_oa_location.is_published | True |
| best_oa_location.raw_source_name | BMJ Open Quality |
| best_oa_location.landing_page_url | https://doi.org/10.1136/bmjoq-2022-002107 |
| primary_location.id | doi:10.1136/bmjoq-2022-002107 |
| primary_location.is_oa | True |
| primary_location.source.id | https://openalex.org/S4210206356 |
| primary_location.source.issn | 2399-6641 |
| primary_location.source.type | journal |
| primary_location.source.is_oa | True |
| primary_location.source.issn_l | 2399-6641 |
| primary_location.source.is_core | True |
| primary_location.source.is_in_doaj | True |
| primary_location.source.display_name | BMJ Open Quality |
| primary_location.source.host_organization | https://openalex.org/P4310319945 |
| primary_location.source.host_organization_name | BMJ |
| primary_location.source.host_organization_lineage | https://openalex.org/P4310319945 |
| primary_location.license | cc-by-nc |
| primary_location.pdf_url | https://bmjopenquality.bmj.com/content/bmjqir/12/1/e002107.full.pdf |
| primary_location.version | publishedVersion |
| primary_location.raw_type | journal-article |
| primary_location.license_id | https://openalex.org/licenses/cc-by-nc |
| primary_location.is_accepted | True |
| primary_location.is_published | True |
| primary_location.raw_source_name | BMJ Open Quality |
| primary_location.landing_page_url | https://doi.org/10.1136/bmjoq-2022-002107 |
| publication_date | 2023-02-01 |
| publication_year | 2023 |
| referenced_works | https://openalex.org/W2165568749, https://openalex.org/W2009566871, https://openalex.org/W2055940399, https://openalex.org/W3156546723, https://openalex.org/W2526978419, https://openalex.org/W3015371909, https://openalex.org/W3002486421, https://openalex.org/W3097159336, https://openalex.org/W2771946882, https://openalex.org/W2883271845, https://openalex.org/W6636253441, https://openalex.org/W7073633567, https://openalex.org/W1988151343, https://openalex.org/W4280520087, https://openalex.org/W3204770980, https://openalex.org/W4255683973, https://openalex.org/W2793794578, https://openalex.org/W2775521680, https://openalex.org/W2955088294, https://openalex.org/W2783555054, https://openalex.org/W2884053754, https://openalex.org/W2612524732, https://openalex.org/W2005814558, https://openalex.org/W2805493153, https://openalex.org/W2905357498, https://openalex.org/W2027062431, https://openalex.org/W2008626031, https://openalex.org/W1983098733, https://openalex.org/W1897601721, https://openalex.org/W1981403772, https://openalex.org/W2275962084, https://openalex.org/W2171165037 |
| referenced_works_count | 32 |
| abstract_inverted_index.9 | 133 |
| abstract_inverted_index.a | 3, 46, 115, 225 |
| abstract_inverted_index.10 | 125 |
| abstract_inverted_index.20 | 177 |
| abstract_inverted_index.30 | 166 |
| abstract_inverted_index.41 | 149 |
| abstract_inverted_index.45 | 136 |
| abstract_inverted_index.CI | 169, 180 |
| abstract_inverted_index.It | 218 |
| abstract_inverted_index.To | 41 |
| abstract_inverted_index.an | 86, 243 |
| abstract_inverted_index.as | 92, 161, 174, 224 |
| abstract_inverted_index.by | 165 |
| abstract_inverted_index.if | 34 |
| abstract_inverted_index.in | 26, 38, 63, 80, 88, 90, 114, 144, 159, 184, 196, 203 |
| abstract_inverted_index.is | 2, 31, 245 |
| abstract_inverted_index.it | 30 |
| abstract_inverted_index.of | 45, 52, 60, 78, 134, 200 |
| abstract_inverted_index.on | 105 |
| abstract_inverted_index.to | 171, 182, 221 |
| abstract_inverted_index.Any | 192 |
| abstract_inverted_index.DNT | 51, 89, 139, 158, 213 |
| abstract_inverted_index.The | 83, 153, 229 |
| abstract_inverted_index.all | 135 |
| abstract_inverted_index.and | 24, 97, 109, 123, 146, 173, 198, 206 |
| abstract_inverted_index.are | 18 |
| abstract_inverted_index.but | 14 |
| abstract_inverted_index.for | 6, 11, 129 |
| abstract_inverted_index.min | 167, 178 |
| abstract_inverted_index.not | 32 |
| abstract_inverted_index.the | 43, 50, 58, 64, 73, 99, 157, 188 |
| abstract_inverted_index.was | 55, 85, 214, 219, 231 |
| abstract_inverted_index.(95% | 168, 179 |
| abstract_inverted_index.15.8 | 181 |
| abstract_inverted_index.2015 | 95, 145, 164 |
| abstract_inverted_index.2016 | 122 |
| abstract_inverted_index.2018 | 91, 147, 160 |
| abstract_inverted_index.25.7 | 170 |
| abstract_inverted_index.3.5% | 199 |
| abstract_inverted_index.5.4% | 197 |
| abstract_inverted_index.DNT; | 235 |
| abstract_inverted_index.Safe | 76 |
| abstract_inverted_index.both | 143 |
| abstract_inverted_index.data | 68, 140 |
| abstract_inverted_index.from | 72, 132, 148 |
| abstract_inverted_index.need | 5 |
| abstract_inverted_index.real | 106 |
| abstract_inverted_index.rest | 59 |
| abstract_inverted_index.such | 242 |
| abstract_inverted_index.that | 241 |
| abstract_inverted_index.time | 9 |
| abstract_inverted_index.used | 75 |
| abstract_inverted_index.were | 69, 103, 112, 127, 141 |
| abstract_inverted_index.with | 57, 94, 163, 176, 207, 233 |
| abstract_inverted_index.(91%) | 150 |
| abstract_inverted_index.(DNT) | 10 |
| abstract_inverted_index.2017, | 124 |
| abstract_inverted_index.24.3) | 183 |
| abstract_inverted_index.34.7) | 172 |
| abstract_inverted_index.Czech | 65 |
| abstract_inverted_index.There | 1 |
| abstract_inverted_index.based | 104 |
| abstract_inverted_index.clear | 33 |
| abstract_inverted_index.other | 237 |
| abstract_inverted_index.teams | 131 |
| abstract_inverted_index.(after | 96 |
| abstract_inverted_index.Still, | 29 |
| abstract_inverted_index.Stroke | 81 |
| abstract_inverted_index.before | 98 |
| abstract_inverted_index.cases, | 108 |
| abstract_inverted_index.should | 239 |
| abstract_inverted_index.stroke | 61, 130, 137, 151, 185 |
| abstract_inverted_index.Between | 121 |
| abstract_inverted_index.Methods | 40 |
| abstract_inverted_index.Purpose | 0 |
| abstract_inverted_index.causal. | 246 |
| abstract_inverted_index.centre. | 119 |
| abstract_inverted_index.centres | 54, 62, 186, 204 |
| abstract_inverted_index.confirm | 240 |
| abstract_inverted_index.courses | 111, 126 |
| abstract_inverted_index.fields. | 28 |
| abstract_inverted_index.methods | 17 |
| abstract_inverted_index.outcome | 84 |
| abstract_inverted_index.stroke. | 39 |
| abstract_inverted_index.studies | 238 |
| abstract_inverted_index.treated | 202 |
| abstract_inverted_index.without | 187, 205 |
| abstract_inverted_index.Findings | 120 |
| abstract_inverted_index.centres. | 138, 152 |
| abstract_inverted_index.clinical | 4, 107 |
| abstract_inverted_index.compared | 56, 93, 162, 175 |
| abstract_inverted_index.equipped | 117 |
| abstract_inverted_index.evaluate | 42 |
| abstract_inverted_index.feasible | 220 |
| abstract_inverted_index.however, | 236 |
| abstract_inverted_index.improved | 156, 234 |
| abstract_inverted_index.improves | 22, 36 |
| abstract_inverted_index.missing. | 19 |
| abstract_inverted_index.numerous | 27 |
| abstract_inverted_index.occurred | 195 |
| abstract_inverted_index.patients | 201 |
| abstract_inverted_index.teamwork | 23 |
| abstract_inverted_index.training | 16, 21, 48, 155, 190, 209, 227 |
| abstract_inverted_index.(p=0.01). | 191 |
| abstract_inverted_index.Registry. | 82 |
| abstract_inverted_index.Republic. | 66 |
| abstract_inverted_index.Scenarios | 102 |
| abstract_inverted_index.available | 142 |
| abstract_inverted_index.collected | 71 |
| abstract_inverted_index.conducted | 113, 128 |
| abstract_inverted_index.effective | 15 |
| abstract_inverted_index.implement | 222 |
| abstract_inverted_index.logistics | 25, 37 |
| abstract_inverted_index.shortened | 7, 216 |
| abstract_inverted_index.(p=0.054), | 210 |
| abstract_inverted_index.Simulation | 20 |
| abstract_inverted_index.Treatments | 79 |
| abstract_inverted_index.associated | 232 |
| abstract_inverted_index.efficiency | 44 |
| abstract_inverted_index.nationally | 74 |
| abstract_inverted_index.nationwide | 226 |
| abstract_inverted_index.programme, | 49 |
| abstract_inverted_index.programme. | 228 |
| abstract_inverted_index.simulation | 35, 47, 100, 110, 118, 154, 189, 208, 223, 230 |
| abstract_inverted_index.standardly | 116 |
| abstract_inverted_index.training). | 101 |
| abstract_inverted_index.Conclusions | 212 |
| abstract_inverted_index.Patients’ | 67 |
| abstract_inverted_index.association | 244 |
| abstract_inverted_index.haemorrhage | 194 |
| abstract_inverted_index.improvement | 87 |
| abstract_inverted_index.intravenous | 12 |
| abstract_inverted_index.nationally. | 217 |
| abstract_inverted_index.parenchymal | 193 |
| abstract_inverted_index.considerably | 215 |
| abstract_inverted_index.participating | 53 |
| abstract_inverted_index.prospectively | 70 |
| abstract_inverted_index.respectively. | 211 |
| abstract_inverted_index.thrombolysis, | 13 |
| abstract_inverted_index.Implementation | 77 |
| abstract_inverted_index.door-to-needle | 8 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 91 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 4 |
| citation_normalized_percentile.value | 0.87434918 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |