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Medical Decision Making

Hester LingsmaWe work on the development and application of methods to measure quality of care and compare outcomes between hospitals. These include prognostic modelling, methods for causal inference from observational data, comparative effectiveness research (CER) and Value Based Health Care. We collaborate with multiple clinical groups within and outside the Erasmus MC.
A main field of application is acute neurological diseases. In close collaboration with clinical researchers we work on optimizing treatment for patients with Traumatic Brain Injury (TBI), neuromuscular diseases and neurovascular diseases. Topics in include personalised intra-arterial treatment after stroke, prognosis and identification of effective treatment for TBI patients, and optimizing treatment for Guillain Barre Syndrome. In these fields we have multiple local, national and international collaborations.

TBI infographic MR Predicts Mr Clean
Infographic Traumatic brain injury: integrated approaches to improve prevention, clinical care and researchMR PREDICTS meets MR CLEAN: Interview with PhD student Esmee Venema 

Ongoing projects:

  • Veni Hester Lingsma

We often see large between-hospital variation in treatment. Partly because for many medical treatments, effectiveness is not clear. In this research between-hospital variations are used to study which treatments work best. Among others, the researchers study optimal treatment for patients with traumatic brain injury.

  • Center TBI

The Collaborative European NeuroTrauma Effectiveness study in Traumatic Brain Injury (CENTER-TBI) is a prospective longitudinal observational study in 68 centers from 20 countries across Europe and Israel. Aims of this study are to improve the characterization and classification of TBI and to identify the best clinical care. From the department of public health, 1 associate professor, 1 assistant professor, 1 post-doc researcher, 1 statistician and 6 PhD students are currently working on this project. We are involved in several workpackages including research methodology, prognostic research and quality of life research. In addition, we are involved in the analysis of treatment effectiveness of several interventions, using methods of comparative effectiveness research. More information about CENTER-TBI is available on the website

  • Contrast stroke

The Collaboration for New Treatments of Acute Stroke (CONTRAST) is a Dutch collaboration with the overarching aim to improve the effectiveness and safety of acute treatment for stroke and to increase the number of eligible patients by expanding indications for treatment. More information about CONTRAST is available on the website: contrast consortium

  • NFU-Consortium Quality of Care

In the NFU program 'Quality of Care' the Erasmus MC and other UMC's  works on the realization of their shared ambition: improving of outcomes and experiences of our patients. Learning with and from each other are key focus areas: combining expertise and sharing of good practices  in improvement programs. Or programs of improvement are: Learning from outcomes, Shared Decision making, Peer Support, Use of the Patient Portal, Team Collaboration and Redesign of Health Care processes.
NFU-consortium quality of care

Other projects we are involved in:

Head of reserach group: