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Stroke & neuro

Stroke triage app adopted but not embedded

Implementation and Evaluation of the Stroke Triage App Among Paramedics in Prehospital Emergency Care: Sequential Mixed Methods Study
Journal of Medical Internet Research · 2026-11-03 · Added 6 November 2026

A Dutch mixed-methods evaluation of the Stroke Triage App across two EMS regions found good initial adoption (median 120 app triages/month) but inconsistent routine integration, with workflow fit and limited perceived added value the main barriers.

Study type

Cross-sectional

Design

Sequential mixed-methods implementation evaluation (usage data, survey, interviews)

Participants

246 paramedics with app accounts; 76 surveyed, 9 interviewed

Main finding

Median 120 triages/month (IQR 107–131) and median 7 uses per paramedic (IQR 3–13); the app was well accepted and supported structured neurological assessment, but clinical urgency, poor workflow integration and limited perceived added value hampered routine use.

Caveat

Only 31% of account holders responded, and usage data can't show whether triage advice changed decisions.

Bottom line

Context only

Learning goal

Understand how digital decision support tools fit into prehospital stroke workflows and where barriers to routine use arise.

More

• Topic: Stroke & neuro
• Daily scan: 6 November 2026

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