Benchmarks and determinants of adherence to stroke performance measures

被引：30

作者：

Hinchey, Judith A. ^{[1
]}

Shephard, Timothy ^{[2
]}

Tonn, Sarah T. ^{[3
]}

Ruthazer, Robin ^{[1
]}

Selker, Harry P. ^{[1
]}

Kent, David M. ^{[1
]}

机构：

[1] Inst Clin Care Res & Hlth Policy Studies, Tufts New England Med Ctr, Boston, MA 02111 USA

[2] Stroke Syst Consulting, Charlottesville, VA USA

[3] Amer Acad Neurol, St Paul, MN USA

来源：

STROKE | 2008年 / 39卷 / 05期

关键词：

delivery of health care; practice improvement; quality of health care; process assessment (health care); cerebral infarction;

D O I：

10.1161/STROKEAHA.107.496570

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background and Purpose - Develop achievable benchmarks for 9 stroke performance measures ( PM) and to identify organizational factors associated with adherence. Methods - Adherence rates and achievable benchmarks were determined for 9 PM within a study of patients (n = 2294) admitted with acute ischemic stroke at 17 hospitals. Baseline information regarding hospital characteristics and stroke-specific processes of care were collected, and multi-level models were used to test the association of these factors with adherence. Results - Benchmarks were >= 90% for 8 of the 9 PM. After controlling for clustering, only use of standing orders was associated with adherence to PM, including: dysphagia screening, venous thrombosis prophylaxis, consideration of tPA, and provision of educational material. Conclusion - High levels of adherence are achievable for several acute stroke PM. Use of standing orders is associated with adherence to PM requiring immediate action on admission.

引用

页码：1619 / 1620

页数：2

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