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
Strokejournal_title
Strokeauthors
Hinchey JA,Shephard T,Tonn ST,Ruthazer R,Selker HP,Kent DMdoi
10.1161/STROKEAHA.107.496570subject
Has Abstractpub_date
2008-05-01 00:00:00pages
1619-20issue
5eissn
0039-2499issn
1524-4628pii
STROKEAHA.107.496570journal_volume
39pub_type
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