The 6P Framework

A comprehensive evidence-based approach to neurointerventional laboratory certification

6P Framework Diagram

People

11 standards 4 Grade A

Personnel qualifications, training, and competency requirements

  • Medical Director qualifications
  • Interventional physician requirements
  • Nursing and technical staff
  • Anesthesia support
  • Training programs

Place

6 standards 3 Grade A

Physical infrastructure and equipment specifications

  • Angiography suite design
  • Radiation protection
  • Emergency access
  • Equipment positioning
  • Room specifications

Products

6 standards 2 Grade A

Device inventory and supply management protocols

  • Core device inventory
  • Emergency supplies
  • Quality control
  • Supply chain management
  • Medication protocols

Protocols

4 standards 2 Grade A

Standardized clinical workflows and procedures

  • Emergency activation
  • Pre-procedure protocols
  • Intra-procedure workflows
  • Post-procedure care
  • Quality assurance

Performance

3 standards 1 Grade A

Quality metrics and outcome monitoring systems

  • Volume requirements
  • Quality indicators
  • Time metrics
  • Patient satisfaction
  • Outcome tracking

Protection

3 standards 2 Grade A

Safety protocols and risk management frameworks

  • Radiation safety
  • Patient safety
  • Infection control
  • Risk management
  • Emergency preparedness

Evidence Quality Distribution

GRADE methodology assessment across all domains

42.4%
Grade A Evidence
High-quality evidence
36.4%
Grade B Evidence
Moderate-quality evidence
21.2%
Grade C Evidence
Low-quality evidence

Framework Development Process

Rigorous methodology ensuring evidence-based standards

Systematic Review

Comprehensive literature search and analysis of 142 high-quality studies

Expert Consensus

15-member international expert panel representing global best practices

GRADE Assessment

Evidence quality evaluation using GRADE methodology

Validation

Framework validation through pilot implementation and feedback

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