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Research and Quality Improvement

Research is vital to improving care for persons with stroke and their families/caregivers.  In addition to creating new approaches to best practice in stroke care, research enables the testing of new ideas and provides the evidence to support new approaches that can improve health and quality of life and fosters professional development.

This section focuses on research activities, quality improvement initiatives and resources within the Toronto Stroke Networks.  For a more comprehensive lists of hospital research activities, please refer to the respective hospitals’ websites.

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Regional Stroke Centres

As Regional Stroke Centres, St. Michael’s Hospital, Sunnybrook Health Sciences Centre, and Toronto Western Hospital are actively involved in research in the following areas:

  • Acute
  • Subacute
  • Prevention
  • Rehabilitation and Recovery
  • Imaging Studies

 

TSNs Quality Improvement Initiatives

The TSNs regional teams are actively involved in quality improvement initiatives to enhance the health and quality of care of persons with stroke and their families/caregivers.  Below is a listing of current and past regional initiatives:

 

Toronto Stroke Flow Initiative

Stroke Flow is a system-based alignment of stroke services in Toronto to ensure access to stroke best practices.

This initiative includes:

  • Access to acute stroke unit care with a dedicated stroke team;
  • Earlier access to high intensity rehabilitation;
  • Increased access to high intensity rehabilitation for severe stroke patients;
  • Enhanced outpatients services for mild stroke patients; and
  • Improved functional outcomes across the continuum

Stroke Flow is supported by a comprehensive knowledge translation strategy.  To view the Toronto Stroke Flow Education and Knowledge Translation (KT) Implementation Plan, and presentations or posters related to Stroke Flow, please visit the TSNs VCoP website.

 

Transitions Improvement for Continuity of Care (TICC) 

TICC is an innovative cross-continuum initiative that seeks to improve the transition experience for persons with stroke and their family caregivers by creating and implementing a sustainable foundation of a new model of person-centered care through the development of an adaptive community of health care providers.

To view presentations or posters related to TICC, please visit the TSNs VCoP website.

 

TSN Community Re-engagement Cue to Action Trigger Tool (CRCATT)

This is a multi-site, single-blind randomized control study that evaluated the use of the Community Re-engagement Cue to Action Trigger Tool (CRCATT), a patient-mediated question prompt list, and its impact on self-reported re-engagement in valued activities post stroke.

To view the tool, please click on Community Re-engagement Cue to Action Trigger Tool (CRCATT)

For a copy of the final report, please click here

 

Collaborative Interprofessional Stroke Care in Community Re-engagement (CISCCoR)

This research project evaluated the impact of an innovative educational intervention (integrating concepts of interprofessional collaborative patient-centered care and community re-engagement) on health care providers’ delivery of best practice based care to persons living with stroke.

To view presentations or posters related to CISCCoR, please visit the  TSNs VCoP websiteTo view the tool, please click on CISCCoR Trigger Tool for Healthcare Providers

For a copy of the final report, please click here

 

Heart and Stroke Foundation Canadian Partnership for Stroke Recovery

The Heart and Stroke Foundation Canadian Partnership for Stroke Recovery is a multi-disciplinary, multi-site research centre that was formed to enable leading scientists to collaborate research efforts to enhance and accelerate recovery after stroke.  The three key strategic research areas of interest are:

  • Exercise Interventions to Improve Stroke Recovery and Brain Health
  • Exploring the Relationship Between Small Vessel Disease, Cognitive Function, Covert Stroke and Alzheimer’s Disease: Development of Therapeutic Interventions
  • Regenerative Approaches to Stroke Recovery and Brain Health

To learn more, please go to http://www.canadianstroke.ca/en/about-us/.

 

University of Toronto Stroke Program (UTSP)

The UTSP is a collaborative university-wide program comprised of neurologists and other representatives interested in stroke care from the three Toronto Regional Stroke Centres: St. Michael’s Hospital, Sunnybrook Health Sciences Centre, and Toronto Western Hospital.  The UTSP combines the resources, strengths, and patient populations to further advance research, education and clinical practices in stroke care.  Through dedication and strong leadership, UTSP has become one of the largest stroke academic programs in North America.

For more information about UTSP research projects, please go to http://torontostrokeprogram.com.

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Other Research Links

 

Signs of a Stroke

If you experience any of the following signs dial 911 immediately.Read More