Academic Journal
VISIION-L: Viz.ai implementation of stroke augmented intelligence and communications platform to improve indicators and outcomes for a comprehensive stroke center and network - Life Flight. A pilot experience.
| Τίτλος: | VISIION-L: Viz.ai implementation of stroke augmented intelligence and communications platform to improve indicators and outcomes for a comprehensive stroke center and network - Life Flight. A pilot experience. |
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| Συγγραφείς: | Meyer BC; University of California, San Diego, United States. Electronic address: bcmeyer@health.ucsd.edu., Shifflett B; University of California, San Diego, United States. Electronic address: bshiffle@health.ucsd.edu., Meyer DM; University of California, San Diego, United States. Electronic address: dmmeyer@health.ucsd.edu., Agrawal K; University of California, San Diego, United States. Electronic address: kuagrawal@health.ucsd.edu., Shahripour RB; University of California, San Diego, United States. Electronic address: rbavarsadshahripour@health.ucsd.edu., Modir R; University of California, San Diego, United States. Electronic address: rmodir@health.ucsd.edu., Hemmen T; University of California, San Diego, United States. Electronic address: themmen@health.ucsd.edu., Pannell JS; University of California, San Diego, United States. Electronic address: jpannell@health.ucsd.edu., Santiago-Dieppa D; University of California, San Diego, United States. Electronic address: drsantiagodieppa@health.ucsd.edu., Steinberg J; University of California, San Diego, United States. Electronic address: j1steinberg@health.ucsd.edu., St Germain E; University of California, San Diego, United States. Electronic address: esperrinez@health.ucsd.edu., Adrid L; University of California, San Diego, United States. Electronic address: ladrid@health.ucsd.edu., Dotson M; University of California, San Diego, United States. Electronic address: mdotson@health.ucsd.edu., Khalessi AA; University of California, San Diego, United States. Electronic address: akhalessi@health.ucsd.edu. |
| Πηγή: | Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2026 Mar; Vol. 35 (3), pp. 108581. Date of Electronic Publication: 2026 Feb 05. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Saunders Country of Publication: United States NLM ID: 9111633 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8511 (Electronic) Linking ISSN: 10523057 NLM ISO Abbreviation: J Stroke Cerebrovasc Dis Subsets: MEDLINE |
| Imprint Name(s): | Publication: Philadelphia, PA : Saunders Original Publication: New York, NY : Demos Publications, [1991- |
| Ιατρικοί όροι (MeSH): | Stroke*/therapy , Stroke*/diagnosis , Stroke*/physiopathology , Air Ambulances*/organization & administration , Patient Transfer*/organization & administration , Patient Care Team*/organization & administration , Telemedicine*/organization & administration , Emergency Medical Service Communication Systems*, Time-to-Treatment/organization & administration ; Humans ; Pilot Projects ; Male ; Female ; Aged ; Time Factors ; Middle Aged ; Treatment Outcome ; Intelligent Systems ; Interdisciplinary Communication ; Program Evaluation |
| Περίληψη: | Background: Improving Life Flight transfer processes is critical. Our telestroke program utilizes the Viz.ai (AI platform) for hyperacute stroke patients with potential vessel occlusions who could benefit from hyperacute transfer. We hypothesized that early incorporation of Life Flight into the multi-team Viz.ai discussion thread would improve communications and streamline transfer times. Methods: We deployed the Viz-Life Flight software module, enabling Life Flight dispatch and helicopter teams access to specific hyperacute transfer cases. Life Flight dispatch and teams were trained on the module use. Variables of interest were collected from stroke databases and Life Flight run-sheets. Likert scale questions were deployed by survey comparing satisfaction. Results: For this pilot experience, the last 5 pre-period patients were compared to the first 5 post-period cases. Median age was 64yrs vs. 65yrs (p = 0.83). Males were 60% vs. 100% (p = 0.18). Time metrics showed: 'SpokeArrival to SpokeDoorOut (DIDO)'(146 min,146 min; 0.75), 'SpokeDoorOut to AdjHubIn (DODI)'(19 min,23 min; 0.21), 'HubDoorIn to GroinPuncture (DTG)'(38 min,33 min; 0.85), 'NIR Contact to Life Flight Activation'(15 min,8 min;p = 0.99), 'SpokeLand to SpokeLift (SpokeDoorOut)'(26 min,24 min; 0.92), and 'SpokeLand to AdjHubLand (aka: 'SpokeLand to HubDoorIn')(45 min,50 min;p = 0.69). In the Post- period, 'Dispatch Notification to Helicopter Notification via Viz' was 3 min, and 'Dispatch Notification via Viz to SpokeLand' was 17 min. Providers rated the Viz-Life Flight communications process higher for satisfaction (30%,89%;p < 0.001), efficiency (26%,91%;p < 0.001), efficacy (30%,93%;p < 0.001), enthusiasm (27%,93%;p < 0.001), and in total (33%,92%;p < 0.001). Discussion: This VISIION-L initiative, adding the Viz-Life Flight module into the process to enable Life Flight teams to actively participate in hyperacute care discussions early on, resulted in preserved time metrics, and significantly improved satisfaction by approximately 60%. Our aim was to show that the novel deployment of this Viz-Life Flight process into the Life Flight hyperacute transfer process can immediately result in improved multi-team communications with a high degree of satisfaction benefit. Assessing improvement in time-based KPIs will require longer term assessments. (Copyright © 2026 The Author(s). Published by Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Brett C. Meyer reports a relationship with Sevaro Health Inc that includes: consulting or advisory and equity or stocks. Brett C. Meyer reports a relationship with InSightVue that includes: equity or stocks. Dawn Meyer reports a relationship with Chiesi Pharmaceuticals Inc that includes: speaking and lecture fees. Kunal Agrawal reports a relationship with Community Health Accreditation Partners that includes: consulting or advisory. Thomas Hemmen reports a relationship with Merck & Co Inc that includes: consulting or advisory. Thomas Hemmen reports a relationship with ZOLL Medical Corporation that includes: consulting or advisory. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Contributed Indexing: | Keywords: BEMI; HEMS; Life Flight; Stroke; Thrombectomy; Transfer |
| Entry Date(s): | Date Created: 20260207 Date Completed: 20260707 Latest Revision: 20260707 |
| Update Code: | 20260707 |
| DOI: | 10.1016/j.jstrokecerebrovasdis.2026.108581 |
| PMID: | 41653946 |
| Βάση Δεδομένων: | MEDLINE |
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