Benchmarks and determinants of adherence to stroke performance measures.

Abstract:

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 >or=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. CONCLUSIONS: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.

journal_name

Stroke

journal_title

Stroke

authors

Hinchey JA,Shephard T,Tonn ST,Ruthazer R,Selker HP,Kent DM

doi

10.1161/STROKEAHA.107.496570

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

1619-20

issue

5

eissn

0039-2499

issn

1524-4628

pii

STROKEAHA.107.496570

journal_volume

39

pub_type

信件,多中心研究

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