Quality of stroke care within a hospital: effects of a mobile stroke service
Objective: An Australian stroke services study (SCOPES) has developed a framework to compare different forms of acute stroke services, the gold standard being localised stroke units. We aimed to use this framework to assess changes in the quality of stroke care over time as a sequential audit proces...
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Veröffentlicht in: | Medical journal of Australia 2005-02, Vol.182 (4), p.160-163 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Objective: An Australian stroke services study (SCOPES) has developed a framework to compare different forms of acute stroke services, the gold standard being localised stroke units. We aimed to use this framework to assess changes in the quality of stroke care over time as a sequential audit process.
Design and setting: A retrospective medical record audit comparing 100 sequential stroke admissions (July 2002 to June 2003) two years after institution of a mobile stroke service (MSS) with 100 historical controls (September 1998 to October 1999) at a 260‐bed hospital in Melbourne. The MSS results were also compared with stroke units in SCOPES.
Main outcome measures: Adherence to quality indicators and standard measures of outcome (complications, length of stay and discharge disability) after implementing the MSS.
Results: Significant improvements were seen in prophylaxis for deep‐vein thrombosis, incontinence management, premorbid function documentation, frequent neurological observations and early occupational therapy. The MSS demonstrated fewer severe complications (9% versus 24%; P = 0.004), reduced median length of stay (discharged patients: 12.0 days versus 18.5 days; P = 0.003) and more patients were independent at discharge (32% versus 9%; P |
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ISSN: | 0025-729X 1326-5377 |
DOI: | 10.5694/j.1326-5377.2005.tb06645.x |