Publications by authors named "Micheal Speck"

We describe the development, implementation, and outcomes of the first 2 years of the Electronic Stroke CarePath, an initiative developed for management of ischemic stroke patients in an effort to improve efficiency and quality of care for patients. The CarePath consists of care pathways for ischemic stroke that are integrated within the electronic health record. Patient-reported outcomes are collected using an external software platform.

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Checklists and disease-specific order sets are increasingly being used in health care to reduce medical errors and improve the quality of patient care. Stroke, which has standardized and well-defined care processes, is an idea/ideal condition for the use of checklists. We describe the Stroke 8 checklist, designed to be part of the daily assessment of patients hospitalized with acute stroke.

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Data contained in the electronic health record (EHR) present a tremendous opportunity to improve quality-of-care and enhance research capabilities. However, the EHR is not structured to provide data for such purposes: most clinical information is entered as free text and content varies substantially between providers. Discrete information on patients' functional status is typically not collected.

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