The Henry Ford Health System: A Hub for the NETT Network

亨利·福特医疗系统：NETT 网络的中心

• 批准号: 7256614
• 负责人: Christopher Andrew Lewandowski
• 金额: $ 36.25万
• 依托单位: HENRY FORD HEALTH SYSTEM
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-05-03 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7256614
• 关键词: Accident and Emergency department; Ambulances; Area; Basic Science; Caring; Child; Clinic; Clinical; Clinical Research; Clinical Trials; Collaborations; Communication; Computerized Medical Record; Data; Emergency Medicine; Emergency Situation; Emergency treatment; Fostering; Foundations; Funding; Health system; Hospitals; Institutes; Intensive Care; Interventional radiology; Investigation; Joint Commission on Accreditation of Healthcare Organizations; Knowledge; Leadership; Manuscripts; Medical; Mentors; Methods; Minority; Neurological emergencies; Neurosciences; Outcome; Outpatients; Patient Care; Patients; Phase III Clinical Trials; Physicians; Preparation; Process; Protocols documentation; Recruitment Activity; Rehabilitation therapy; Research; Research Ethics Committees; Research Personnel; Services; Site; Stroke; Structure; System; Techniques; Translating; Visit; Woman; Work; career; clinical research site; design; improved; interest; medical specialties; member; nervous system disorder; pediatric trauma; programs; quality assurance; skills; treatment trial

DESCRIPTION (provided by applicant): The National Institute of Neurological Disorders and Stroke (NINDS) is seeking to develop a Neurological Emergencies Treatment Trials (NETT) Network of Clinical Site Hubs. The Hubs will work with the NETT Clinical Coordinating Center to improve outcomes for patients with neurological emergencies through research. The clinical site Hubs will be regional consortia of emergency departments (ED) that will recruit patients and carry out phase III clinical trials. The Henry Ford Health System (HFHS) has a long commitment to both basic science and clinical research in neurological disorders and is a NINDS designated Stroke Center with 18 years of continuous funding. This proposal is a natural extension of our current work. The objective of this proposal is to demonstrate that the HFHS is an ideal Hub for the NETT Network. The specific aims are to create a flexible Hub with seven "spokes" at HFHS, to participate in research that improves patient care, to help create an enduring research network, to allow multi-specialty collaboration, and to foster research skills in young investigators that will allow them to pursue a career in clinical research. The Hub will be designed around the HFHS because it is a regional, integrated system of 6 area hospitals, 9 emergency departments, including 4 JCAHO certified stroke centers, and 36 clinics. It also includes a closed medical group of over 800 physicians with over 2.5 million outpatient visits and over 350,000 emergency department visits annually. The HFHS serves a wide variety of minorities, women, and children. The system is integrated through a central IRB, shared electronic medical record, standardized patient care and referral protocols, communication systems, and an integrated governance and leadership structure. A dedicated ambulance service (Superior Ambulance) interconnects the system. This proposal will use three hospitals and seven EDs. The method of implementation will be the Ford Neurological Emergencies Cross- disciplinary Team (Ford NEXT). This 28 member multi-specialty team with expertise in Emergency Medicine, Prehospital Care, the Neurosciences, Neuro- Intensive Care, Neuro-interventional Radiology, Trauma, Pediatrics, and Rehabilitation will implement and completely manage the clinical trials. The importance of this proposal is that the HFHS hub will build on a well established neuroscience foundation, rapidly complete studies in neurological emergencies, and improve patient care and outcomes.

描述（由申请人提供）：国家神经系统疾病与中风研究所（NINDS）正在寻求开发临床现场枢纽的神经系统紧急治疗试验（NETT）网络。这些枢纽将与NetT临床协调中心合作，通过研究改善神经系统紧急情况的结果。临床现场枢纽将是急诊科（ED）的区域财团，该联盟将招募患者并进行III期临床试验。亨利·福特（Henry Ford）卫生系统（HFHS）对神经系统疾病的基础科学和临床研究都有长期的承诺，并且是一个指定的中风中心，拥有18年的持续资金。该提议是我们当前工作的自然扩展。该提案的目的是证明HFHS是NetT网络的理想枢纽。具体的目的是在HFHS上创建一个具有七个“辐条”的灵活枢纽，以参与改善患者护理的研究，以帮助建立持久的研究网络，允许多专科协作，并培养年轻研究人员的研究技能，以使他们能够从事临床研究的职业。该枢纽将围绕HFHS设计，因为它是一个由6家地区医院，9个急诊室的区域集成系统，其中包括4个JCAHO认证的中风中心和36个诊所。它还包括一个封闭的医疗团体，由800多名医生，每年有超过250万个门诊就诊和超过350,000个急诊室就诊。 HFHS为各种各样的少数民族，妇女和儿童提供服务。该系统是通过中央IRB，共享的电子病历，标准化的患者护理和转诊协议，通信系统以及综合治理和领导结构整合的。专用的救护车服务（上级救护车）将系统互连。该建议将使用三家医院和七个ED。实施方法将是福特神经系统紧急情况跨学科团队（下一支福特）。这支拥有急诊医学，院前护理，神经科学，神经重症监护，神经间距放射学，创伤，儿科和康复的28个成员多专业团队将实施并完全管理临床试验。该提案的重要性是，HFHS枢纽将建立在建立的神经科学基础上，在神经系统紧急情况下快速完成研究，并改善患者的护理和结果。