{"id":"https://openalex.org/W7220835004","doi":"https://doi.org/10.7759/cureus.117587","title":"Refining Clinical Management Advice From Radiology for Intracerebral Haemorrhage: A Two-Cycle Clinical Audit With Intervening Service Improvement","display_name":"Refining Clinical Management Advice From Radiology for Intracerebral Haemorrhage: A Two-Cycle Clinical Audit With Intervening Service Improvement","publication_year":2026,"publication_date":"2026-10-07","ids":{"openalex":"https://openalex.org/W7220835004","doi":"https://doi.org/10.7759/cureus.117587","pmid":"https://pubmed.ncbi.nlm.nih.gov/42997537","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13741896"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.117587","doi":"https://doi.org/10.7759/cureus.117587","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117587","pdf_url":"https://www.cureus.com/articles/527094-refining-clinical-management-advice-from-radiology-for-intracerebral-haemorrhage-a-two-cycle-clinical-audit-with-intervening-service-improvement.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/527094-refining-clinical-management-advice-from-radiology-for-intracerebral-haemorrhage-a-two-cycle-clinical-audit-with-intervening-service-improvement.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5086902661","display_name":"Niha Mariam Hussain","orcid":"https://orcid.org/0000-0002-7579-9182","observed_orcids":["https://orcid.org/0000-0002-7579-9182"]},"institutions":[{"id":"https://openalex.org/I2802445252","display_name":"University Hospitals of Leicester NHS Trust","ror":"https://ror.org/02fha3693","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802445252"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Niha Mariam Hussain","raw_affiliation_strings":["Radiology, University Hospitals of Leicester NHS Trust, Leicester, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Radiology, University Hospitals of Leicester NHS Trust, Leicester, GBR","institution_ids":["https://openalex.org/I2802445252"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063741494","display_name":"David Swienton","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802445252","display_name":"University Hospitals of Leicester NHS Trust","ror":"https://ror.org/02fha3693","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802445252"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"David Swienton","raw_affiliation_strings":["Neuroradiology, University Hospitals of Leicester NHS Trust, Leicester, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neuroradiology, University Hospitals of Leicester NHS Trust, Leicester, GBR","institution_ids":["https://openalex.org/I2802445252"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5157807674","display_name":"David Eveson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802445252","display_name":"University Hospitals of Leicester NHS Trust","ror":"https://ror.org/02fha3693","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802445252"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"David Eveson","raw_affiliation_strings":["Stroke Medicine, University Hospitals of Leicester NHS Trust, Leicester, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Stroke Medicine, University Hospitals of Leicester NHS Trust, Leicester, GBR","institution_ids":["https://openalex.org/I2802445252"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5086902661"],"corresponding_institution_ids":["https://openalex.org/I2802445252"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.75009506,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"10","first_page":"e117587","last_page":"e117587"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11763","display_name":"Intracerebral and Subarachnoid Hemorrhage Research","score":0.9556000232696533,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11763","display_name":"Intracerebral and Subarachnoid Hemorrhage Research","score":0.9556000232696533,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11894","display_name":"Radiology practices and education","score":0.026799999177455902,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.004699999932199717,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/intracerebral-hemorrhage","display_name":"intracerebral hemorrhage","score":0.972000002861023},{"id":"https://openalex.org/keywords/radiology-reporting","display_name":"radiology reporting","score":0.8730000257492065},{"id":"https://openalex.org/keywords/clinical-audit","display_name":"clinical audit","score":0.5989999771118164},{"id":"https://openalex.org/keywords/service-improvement","display_name":"service improvement","score":0.8629999756813049},{"id":"https://openalex.org/keywords/surgical-referral","display_name":"surgical referral","score":0.6620000004768372},{"id":"https://openalex.org/keywords/antihypertensive-therapy","display_name":"antihypertensive therapy","score":0.828000009059906},{"id":"https://openalex.org/keywords/anticoagulation-reversal","display_name":"anticoagulant reversal","score":0.8980000019073486},{"id":"https://openalex.org/keywords/educational-intervention","display_name":"educational intervention","score":0.5640000104904175},{"id":"https://openalex.org/keywords/care-bundle","display_name":"care bundle","score":0.5680000185966492}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9642000198364258},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.6682999730110168},{"id":"https://openalex.org/C2776579137","wikidata":"https://www.wikidata.org/wiki/Q5133817","display_name":"Clinical audit","level":3,"score":0.6355000138282776},{"id":"https://openalex.org/C2779955035","wikidata":"https://www.wikidata.org/wiki/Q4686785","display_name":"Advice (programming)","level":2,"score":0.633400022983551},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.5580999851226807},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.49639999866485596},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.48510000109672546},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4790000021457672},{"id":"https://openalex.org/C60044698","wikidata":"https://www.wikidata.org/wiki/Q1283324","display_name":"Refining (metallurgy)","level":2,"score":0.44369998574256897},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3384000062942505},{"id":"https://openalex.org/C3018396283","wikidata":"https://www.wikidata.org/wiki/Q5133817","display_name":"Medical audit","level":3,"score":0.3278000056743622},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.28679999709129333},{"id":"https://openalex.org/C3018923921","wikidata":"https://www.wikidata.org/wiki/Q2585693","display_name":"Clinical effectiveness","level":2,"score":0.28139999508857727},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.27649998664855957},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.274399995803833},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.2680000066757202},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2639999985694885},{"id":"https://openalex.org/C2992931291","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Patient referral","level":3,"score":0.25780001282691956},{"id":"https://openalex.org/C3019691859","wikidata":"https://www.wikidata.org/wiki/Q4691063","display_name":"Against medical advice","level":2,"score":0.2563999891281128}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.117587","doi":"https://doi.org/10.7759/cureus.117587","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117587","pdf_url":"https://www.cureus.com/articles/527094-refining-clinical-management-advice-from-radiology-for-intracerebral-haemorrhage-a-two-cycle-clinical-audit-with-intervening-service-improvement.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmid:42997537","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42997537","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13741896","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13741896/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.7759/cureus.117587","doi":"https://doi.org/10.7759/cureus.117587","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117587","pdf_url":"https://www.cureus.com/articles/527094-refining-clinical-management-advice-from-radiology-for-intracerebral-haemorrhage-a-two-cycle-clinical-audit-with-intervening-service-improvement.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220835004.pdf","grobid_xml":"https://content.openalex.org/works/W7220835004.grobid-xml"},"referenced_works_count":6,"referenced_works":["https://openalex.org/W1980694603","https://openalex.org/W2039661153","https://openalex.org/W4223904483","https://openalex.org/W4378219880","https://openalex.org/W4401420689","https://openalex.org/W4408761537"],"related_works":["https://openalex.org/W2772873622","https://openalex.org/W2772820088","https://openalex.org/W2773720064","https://openalex.org/W7207600145","https://openalex.org/W2889792201","https://openalex.org/W2585570313","https://openalex.org/W2169486075","https://openalex.org/W2795653592","https://openalex.org/W4409062347","https://openalex.org/W2101035757"],"abstract_inverted_index":{"Spontaneous":[0],"intracerebral":[1],"haemorrhage":[2],"(ICH)":[3],"is":[4],"a":[5,52,106,116,168,179],"time-critical":[6,79],"neurological":[7],"emergency":[8],"associated":[9,69],"with":[10,33,85,102,134],"high":[11],"morbidity":[12],"and":[13,26,95,113,141],"mortality.":[14],"Management":[15],"guidelines":[16],"recommend":[17],"prompt":[18],"blood":[19],"pressure":[20],"reduction,":[21],"anticoagulation":[22],"reversal":[23],"where":[24],"indicated,":[25],"early":[27],"involvement":[28],"of":[29,48,99,115,123,151,156],"the":[30,97,121],"stroke":[31],"team,":[32],"no":[34],"routine":[35],"role":[36],"for":[37,60,110],"surgical":[38,136,157],"intervention":[39,109],"in":[40,56,78,126],"small,":[41],"deep,":[42],"uncomplicated":[43],"haemorrhages.":[44],"At":[45],"University":[46],"Hospitals":[47],"Leicester":[49],"NHS":[50],"Trust,":[51],"pattern":[53],"was":[54,91],"identified":[55],"which":[57],"radiology":[58,100,127,175],"reports":[59,128],"this":[61],"patient":[62],"group":[63],"frequently":[64],"recommended":[65],"neurosurgical":[66],"consultation":[67,158],"without":[68],"guidance":[70],"towards":[71],"evidence-based":[72],"medical":[73,143],"management,":[74],"contributing":[75],"to":[76,93,149,162,182],"delays":[77],"interventions.":[80],"A":[81],"two-cycle":[82],"clinical":[83],"audit":[84,132],"an":[86],"intervening":[87],"service":[88],"improvement":[89],"initiative":[90],"conducted":[92],"assess":[94],"improve":[96],"alignment":[98],"reporting":[101,111,176],"guideline-directed":[103],"management.":[104],"Following":[105],"targeted":[107],"educational":[108],"clinicians":[112],"promotion":[114],"stroke-specific":[117],"imaging":[118],"request":[119],"pathway,":[120],"distribution":[122],"management":[124,144],"advice":[125,138,145],"differed":[129],"significantly":[130],"between":[131],"cycles,":[133],"inappropriate":[135],"referral":[137],"eliminated":[139],"entirely":[140],"appropriate":[142],"increasing":[146],"from":[147,160],"17%":[148],"52%":[150],"all":[152],"reports.":[153],"The":[154],"rate":[155],"fell":[159],"56%":[161],"15%.":[163],"Timely":[164],"antihypertensive":[165],"administration":[166],"showed":[167],"non-significant":[169],"improvement.":[170],"These":[171],"findings":[172],"support":[173],"targeting":[174],"practice":[177],"as":[178],"practical":[180],"adjunct":[181],"broader":[183],"ICH":[184],"care":[185],"bundle":[186],"implementation.":[187]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-10-08T00:00:00"}