Developing a Deep Brain Stimulation Neuromodulation Network for Parkinson Disease, Essential Tremor, and Dystonia: Report of a Quality Improvement Project
| العنوان: | Developing a Deep Brain Stimulation Neuromodulation Network for Parkinson Disease, Essential Tremor, and Dystonia: Report of a Quality Improvement Project |
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| المؤلفون: | Richard B. Dewey, Padraig E. O’Suilleabhain, Manjit Sanghera, Neepa Patel, Pravin Khemani, Laura H. Lacritz, Shilpa Chitnis, Louis A. Whitworth |
| المصدر: | PLoS ONE, Vol 11, Iss 10, p e0164154 (2016) PLoS ONE |
| بيانات النشر: | Public Library of Science (PLoS), 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | 0301 basic medicine, Quality management, Movement disorders, Deep Brain Stimulation, medicine.medical_treatment, Social Sciences, lcsh:Medicine, Biochemistry, Diagnostic Radiology, Cognition, 0302 clinical medicine, Outcome Assessment, Health Care, Medicine and Health Sciences, Psychology, Medicine, Postoperative Period, lcsh:Science, Cognitive Impairment, Dystonia, Movement Disorders, Multidisciplinary, Essential tremor, Cognitive Neurology, Neuromodulation, Radiology and Imaging, Parkinson Disease, Neurodegenerative Diseases, Neurochemistry, Quality Improvement, Magnetic Resonance Imaging, Neuromodulation (medicine), Neurology, medicine.symptom, Research Article, medicine.medical_specialty, Deep brain stimulation, Imaging Techniques, Essential Tremor, Cognitive Neuroscience, MEDLINE, Surgical and Invasive Medical Procedures, Research and Analysis Methods, 03 medical and health sciences, Physical medicine and rehabilitation, Neuropsychology, Diagnostic Medicine, Humans, Neuropsychological Testing, business.industry, lcsh:R, Biology and Life Sciences, medicine.disease, Otolaryngological Procedures, 030104 developmental biology, Physical therapy, Cognitive Science, lcsh:Q, business, Quality assurance, 030217 neurology & neurosurgery, Neuroscience |
| الوصف: | Objective To develop a process to improve patient outcomes from deep brain stimulation (DBS) surgery for Parkinson disease (PD), essential tremor (ET), and dystonia. Methods We employed standard quality improvement methodology using the Plan-Do-Study-Act process to improve patient selection, surgical DBS lead implantation, postoperative programming, and ongoing assessment of patient outcomes. Results The result of this quality improvement process was the development of a neuromodulation network. The key aspect of this program is rigorous patient assessment of both motor and non-motor outcomes tracked longitudinally using a REDCap database. We describe how this information is used to identify problems and to initiate Plan-Do-Study-Act cycles to address them. Preliminary outcomes data is presented for the cohort of PD and ET patients who have received surgery since the creation of the neuromodulation network. Conclusions Careful outcomes tracking is essential to ensure quality in a complex therapeutic endeavor like DBS surgery for movement disorders. The REDCap database system is well suited to store outcomes data for the purpose of ongoing quality assurance monitoring. |
| اللغة: | English |
| تدمد: | 1932-6203 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d60cdb9bbd15ddb71b01d85c31f0f483Test http://europepmc.org/articles/PMC5053513?pdf=renderTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d60cdb9bbd15ddb71b01d85c31f0f483 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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