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Published on: January 15, 2017
Development of performance measures for acute ischemic stroke
R G Holloway1, B G Vickrey, C Benesch
1Department of Neurology, University of Rochester School of Medicine, NY, USA. bholloway@mct.rochester.edu
Stroke
|September 8, 2001
Summary
This study developed and rated performance measures for acute ischemic stroke care in hospitals. Key measures for improving stroke outcomes were identified and agreed upon by a multidisciplinary panel.
Area of Science:
- Neurology
- Healthcare Quality Improvement
- Clinical Performance Measurement
Background:
- Developing robust performance measures is crucial for enhancing hospital-based acute ischemic stroke care.
- Standardized metrics are needed to assess and improve the quality of stroke treatment pathways.
Framework:
- A national multidisciplinary panel developed 44 potential stroke performance measures.
- Measures were evaluated using a modified Delphi approach across six quality dimensions: evidence validity, feasibility, impact, room for improvement, plausibility, and overall rating.
Implementation:
- The panel identified highly rated measures including warfarin for atrial fibrillation, antithrombotics at discharge, carotid imaging, and stroke unit utilization.
- Heparin for DVT prophylaxis and stroke protocols also showed high agreement among panelists.
- Time-sensitive thrombolytic measures received high ratings for potential improvement but lower overall scores.
Implications:
- Validated performance measures exist for all aspects of hospital stroke care, facilitating quality improvement initiatives.
- These measures can guide clinical practice and policy to optimize patient outcomes in acute ischemic stroke.
- Further research may refine thrombolytic management protocols based on panel feedback.
