Access

位于合作伙伴的SPOTRIAS中心的Access核心将仅限于支持标准静脉溶栓的快速管理、出血性中风的快速评估和治疗，以及在HWO合作伙伴学术中心执行四个拟议的研究项目(两个独立合作伙伴项目和两个与哥伦比亚大学合作的项目)。Access Core还将通过在我们广泛的合作伙伴医疗系统(PHS)网络和26家TeleStroke附属医院内和跨网络扩展其急性中风专业知识，努力提高其在更广泛社区中对中风的影响。 这将有助于提供一个平台，从这个平台上启动未来SPOTRIAS网络范围的中风研究。在过去的二十年里。合作伙伴享有丰富的临床和研究合作，涉及急诊内科、放射科、神经内科和神经外科。Access Core的领导体现了整个系统对急性中风护理的综合方法。Access Core由神经病学和急诊医学的医生共同指导，他们是质量改进方面的机构领导者，另外，这些部门的活跃成员在每个地点担任额外的关键领导职位，所有这些成员都在临床实践中照顾急性中风患者。此外，两家医院使用相同的急性卒中方案，共享相同的急性卒中和NICU研究员，并在相同的急性卒中质量议程上进行合作。合作伙伴SPOTRIAS计划完全融入了两个地点的中风临床护理和中风研究活动的日常活动中，Access Core在实现其目标方面处于独特的地位，因为如此多的SPOTRIAS研究人员也是急性中风临床护理交付团队的活跃成员。为了实现其目标，Access Core将利用 Schwamm博士在合作伙伴之间开发了强大的质量改进基础设施，以在协调的区域卒中网络的更广泛背景下继续推进对患者的急性卒中护理。

The Access Core ofthe SPOTRIAS center at Partners will confinue to support the rapid administrafion of standard intravenous thrombolysis, the rapid evaluation and treatment of hemorrhagic stroke, as well as the execution of the four proposed research projects (two independent Partners projects and two collaborative projects with Columbia University) at the hwo Partners academic centers. The Access Core will also strive to increase its impact on stroke in the broader community by extending its acute stroke expertise within and across our extensive nehwork of Partners Healthcare System (PHS) and 26 TeleStroke-affiliated hospitals. This will help provide a platform from which to launch future SPOTRIAS network-wide stroke research. For the last two decades. Partners has enjoyed a rich clinical and research collaboration involving the Departments of Emergency Medicine, Radiology, Neurology, and Neurosurgery. The leadership of the Access Core reflects the integrated approach to acute stroke care across the system. The Access Core is co-directed by physicians from Neurology and Emergency Medicine who are institutional leaders in quality improvement, with addifional key leadership posifions held by active members of these departments at each site, all of whom care for acute stroke pafients in their clinical practice. In addifion, the two hospitals use the same acute stroke protocols, share the same acute stroke and NICU fellows and collaborate on the same acute stroke quality agenda. The Partners SPOTRIAS program is fully integrated into the daily activities of the clinical stroke care and stroke research activities at the two sites, and the Access Core is uniquely positioned to accomplish its goals because so many of the SPOTRIAS research faculties are also active members ofthe acute stroke clinical care delivery team. In pursuit of its aims, the Access Core will utilize the robust quality improvement infrastructure which Dr. Schwamm has developed across Partners for continued advancement of acute stroke care for patients within the broader context of a coordinated regional stroke network.