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Best practices in stroke care.

Susan Bisaillon¹, Linda Kelloway, Kathryn LeBlanc

¹Neuroscience/Musculoskeletal Health System, Trillium Health Centre, Mississauga, Ontario.

The Canadian Nurse

|November 22, 2005

Summary

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The Ontario Stroke Strategy improved stroke care by implementing rapid cycle changes in regional centers. This quality improvement initiative enhanced both the timeliness and quality of care for stroke patients.

Area of Science:

Healthcare Management
Neurology
Quality Improvement Science

Background:

The Ontario Ministry of Health and Long-Term Care established the Ontario Stroke Strategy in 2001.
Regional stroke centers were designated to coordinate stroke care across the continuum.
Trillium Health Centre sought excellence through best practice projects, focusing on acute ischemic stroke care.

Purpose of the Study:

To enhance access to and quality of care for stroke patients.
To improve patient care from emergency presentation through acute treatment to inpatient rehabilitation.
To implement best practices within a designated regional stroke center.

Main Methods:

Utilized the rapid cycle change methodology for quality improvement.

Related Experiment Videos

Implemented a series of small, iterative process improvement ideas.

Measured the impact of changes to drive further improvements.

Main Results:

The project successfully improved the timeliness of stroke care.
Significant enhancements in the overall quality of stroke patient care were achieved.
The rapid cycle change approach proved effective in optimizing stroke treatment pathways.

Conclusions:

The implementation of the Ontario Stroke Strategy at Trillium Health Centre was successful.
Rapid cycle change is an effective methodology for improving acute ischemic stroke care.
The project demonstrated significant positive outcomes in stroke patient management and outcomes.