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Developing a stroke unit using the acute care for elders intervention and model of care
Kyle R Allen1, Susan E Hazelett, Robert R Palmer
1Department of Medicine, Summa Health System, Akron, Ohio, USA. allenk@summa-health.org
Journal of the American Geriatrics Society
|December 23, 2003
Summary
The Acute Care for Elders (ACE) model can be adapted to improve stroke care. Implementing this model in a stroke unit enhances patient outcomes and care processes.
Area of Science:
- Geriatrics
- Neurology
- Healthcare Management
Background:
- The Acute Care for Elders (ACE) model improves outcomes for hospitalized older adults.
- Stroke units enhance care for acute stroke patients, but their structures vary.
- Standardizing stroke care is crucial for better patient results.
Purpose of the Study:
- To describe the adaptation of the ACE model for stroke care.
- To establish a foundation for a successful stroke unit using continuous quality improvement.
- To demonstrate the potential of the ACE model in improving stroke outcomes.
Main Methods:
- Implemented the ACE intervention components within a community teaching hospital.
- Established a stroke-specific interdisciplinary team.
- Developed evidence-based stroke orders, protocols, and a redesigned environment.
- Utilized a continuous quality improvement process.
Main Results:
- The ACE model was successfully adapted for stroke-specific care.
- Administrative data indicated potential improvements in care processes.
- The adapted model showed promise for enhancing clinical stroke outcomes.
Conclusions:
- The ACE model provides a robust framework for developing specialized stroke units.
- Adapting the ACE model can lead to improved stroke care processes and patient outcomes.
- Continuous quality improvement is key to successful implementation.