Association between patient outcomes and key performance indicators of stroke care quality: A systematic review and meta-analysis

Urimubenshi, Gerard; Langhorne, Peter; Cadilhac, Dominique A.; Kagwiza, Jeanne; Wu, Olívia

doi:10.1177/2396987317735426

Cited by 37 publications

(35 citation statements)

References 60 publications

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“…36 Certification and sentinel stroke audit programmes support the delivery of high-quality organised care: it has been shown that high performance in audited process indicators reduces mortality by up to 25%. 37 This emphasises the need for 18 Comprehensive stroke unit: A dedicated area where acute stroke management is combined with early mobilisation and rehabilitation and secondary prevention, according to the needs of the patient. Early supported discharge: Early supported discharge is designed to enable the accelerated discharge of stroke patients to their home, providing specialist rehabilitation and social support in a home setting rather than an acute hospital ward.…”

Section: State Of the Artmentioning

confidence: 99%

“…36 Certification and sentinel stroke audit programmes support the delivery of high-quality organised care: it has been shown that high performance in audited process indicators reduces mortality by up to 25%. 37 This emphasises the need for continuing quality improvement processes, particularly in view of the known differences in care quality related to time and day of admission. 38 Auditing measures lead to a better quality of stroke care, and more sustained stroke care performance over time.…”

Section: Organisation Of Stroke Servicesmentioning

confidence: 99%

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Action Plan for Stroke in Europe 2018–2030

Norrving

Barrick

Dávalos

et al. 2018

European Stroke Journal

371

280

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Two previous pan-European consensus meetings, the 1995 and 2006 Helsingborg meetings, were convened to review the scientific evidence and the state of current services to identify priorities for research and development and to set targets for the development of stroke care for the decade to follow. Adhering to the same format, the European Stroke Organisation (ESO) prepared a European Stroke Action Plan (ESAP) for the years 2018 to 2030, in cooperation with the Stroke Alliance for Europe (SAFE). The ESAP included seven domains: primary prevention, organisation of stroke services, management of acute stroke, secondary prevention, rehabilitation, evaluation of stroke outcome and quality assessment and life after stroke. Research priorities for translational stroke research were also identified. Documents were prepared by a working group and were open to public comments. The final document was prepared after a workshop in Munich on 21–23 March 2018. Four overarching targets for 2030 were identified: (1) to reduce the absolute number of strokes in Europe by 10%, (2) to treat 90% or more of all patients with stroke in Europe in a dedicated stroke unit as the first level of care, (3) to have national plans for stroke encompassing the entire chain of care, (4) to fully implement national strategies for multisector public health interventions. Overall, 30 targets and 72 research priorities were identified for the seven domains. The ESAP provides a basic road map and sets targets for the implementation of evidence-based preventive actions and stroke services to 2030.

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Section: State Of the Artmentioning

confidence: 99%

“…36 Certification and sentinel stroke audit programmes support the delivery of high-quality organised care: it has been shown that high performance in audited process indicators reduces mortality by up to 25%. 37 This emphasises the need for continuing quality improvement processes, particularly in view of the known differences in care quality related to time and day of admission. 38 Auditing measures lead to a better quality of stroke care, and more sustained stroke care performance over time.…”

Section: Organisation Of Stroke Servicesmentioning

confidence: 99%

Action Plan for Stroke in Europe 2018–2030

Norrving

Barrick

Dávalos

et al. 2018

European Stroke Journal

371

280

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“…yüksek performansın mortaliteyi %25'e varan oranlarda düşürdüğü gösterilmiştir (37). Bu da, özellikle hasta kabul zamanına ve gününe bağlı olarak bakım kalitesindeki bilinen farklılıklar göz önünde bulundurulduğunda, sürekli kalite iyileştirme süreçlerine olan ihtiyacı vurgulamaktadır (38).…”

Section: Mevcut Durumunclassified

Action Plan for Stroke in Europe 2018–2030

Norrving¹,

Barrick²,

Dávalos³

et al. 2019

TÃ¼rk Beyin Damar Hast Derg

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İspanya, 18 Perugia Üniversitesi, Tıp ve Kardiyovasküler Hastalıklar Anabilim Dalı, İnme Ünitesi, Perugia, İtalya, *Çalışma grubu üyelerinin tam listesi için, bkz. Ek 1.ÖZET Araştırma ve geliştirmeye yönelik öncelikleri belirlemek ve gelecek on yılda inme için tedavi geliştirmeye yönelik hedefleri tayin etmek ve bilimsel kanıtlar ile mevcut hizmetlerin durumunu incelemek amacıyla 1995 ve 2006 Helsingborg toplantıları olmak üzere iki Pan-Avrupa mutabakat toplantısı gerçekleştirilmiştir. Aynı formata bağlı kalarak, European Stroke Organisation (Avrupa İnme Derneği, ESO), Stroke Alliance for Europe (Avrupa İnme Birliği, SAFE) ile iş birliği yaparak 2018 ila 2030 yılları için aynı formatta bir Avrupa İnme Eylem Planı (ESAP) hazırlamıştır. ESAP yedi alan içermektedir: birincil koruma, inme hizmetlerinin organizasyonu, akut inme yönetimi, ikincil koruma, rehabilitasyon, inme sonucunun değerlendirilmesi ve kalite değerlendirmesi ile inmeden sonra yaşam. Translasyonel inme araştırmaları için araştırma öncelikleri de belirlenmiştir. Belgeler bir çalışma grubu tarafından hazırlanmıştır ve kamu yorumuna açıktır. Nihai belge, 21-23 Mart 2018 tarihleri arasında Münih'te gerçekleştirilen bir atölye sonrasında hazırlanmıştır. 2030 yılı için dört kapsayıcı hedef belirlenmiştir: (1) Avrupa'daki mutlak inme sayısının %10 oranında düşürülmesi, (2) Avrupa'daki felçli hastaların %90 veya daha fazlasının birinci basamak sağlık hizmetleri kapsamında özelleşmiş bir inme biriminde tedavi edilmesi, (3) inme konusunda, tüm bakım zincirini kapsayan ulusal planların bulunması, (4) çok sektörlü halk sağlığı müdahaleleri için tam anlamıyla ulusal stratejilerin uygulanması. Toplamda yedi alan için, 30 hedef ve 72 araştırma önceliği belirlenmiştir. ESAP, 2030'a kadar kanıta dayalı önleyici faaliyetlerin ve inme hizmetlerinin hayata geçirilmesi için hedefleri belirlemekte ve basit bir yol haritası sunmaktadır. ABSTRACTTwo previous pan-European consensus meetings, the 1995 and 2006 Helsingborg meetings, were convened to review the scientific evidence and the state of current services to identify priorities for research and development and to set targets for the development of stroke care for the decade to follow. Adhering to the same format, the European Stroke Organisation (ESO) prepared a European Stroke Action Plan (ESAP) for the years 2018 to 2030, in cooperation with the Stroke Alliance for Europe (SAFE). The ESAP included seven domains: primary prevention, organisation of stroke services, management of acute stroke, secondary prevention, rehabilitation, evaluation of stroke outcome and quality assessment and life after stroke. Research priorities for translational stroke research were also identified. Documents were prepared by a working group and were open to public comments. The final document was prepared after a workshop in Munich on 21-23 March 2018. Four overarching targets for 2030 were identified: (1) to reduce the absolute number of strokes in Europe by 10%, (2) to treat 90% or more of all patients with stroke in Europe in a dedicat...

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“…4,7 Moreover, improving adherence to such key performance indicators has also been shown to be associated with better outcomes after stroke. 5,6,[8][9][10][11] Therefore, participation in quality monitoring is highly desirable and the most recent international stroke care guidelines support quality monitoring becoming a routine part of clinical care. 4,12 Based on a recent systematic review, some quality control for stroke care has been established in 26 countries, primarily in Western Europe, the United States, and Canada, although it was found that in most countries nation-wide coverage was missing.…”

Section: Introductionmentioning

confidence: 99%

Enhancing and accelerating stroke treatment in Eastern European region: Methods and achievement of the ESO EAST program

Mikulík

Caso

Bornstein

et al. 2020

European Stroke Journal

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Introduction Despite the availability of prevention and therapies of stroke, their implementation in clinical practice, even of low-cost ones, remains poor. In 2015, the European Stroke Organisation (ESO) initiated the ESO Enhancing and Accelerating Stroke Treatment (EAST) program, which aims to improve stroke care quality, primarily in Eastern Europe. Here, we describe its methods and milestones. Patients and methods The ESO EAST program is using an implementation strategy based on a ‘detecting-understanding-reducing disparities’ conceptual framework: stroke care quality is first measured (after developing a platform for data collection), gaps are identified in the current service delivery, and ultimately feedback is provided to participating hospitals, followed by the application of interventions to reduce disparities. The ESO EAST program is carried out by establishing a stroke quality registry, stroke management infrastructure, and creating education and training opportunities for healthcare professionals. Results Program management and leadership infrastructure has been established in 19 countries (Country Representatives in 22 countries, National Steering Committee in 19 countries). A software platform for data collection and analysis: Registry of Stroke Care Quality was developed, and launched in 2016, and has been used to collect data from over 90,000 patients from >750 hospitals and 56 countries between September 2016 and May 2019. Training in thrombolysis, nursing and research skills has been initiated. Discussion ESO EAST is the first pan-Eastern European (and beyond) multifaceted quality improvement intervention putting evidence-informed policies into practice. Continuous monitoring of stroke care quality allows hospital-to-hospital and country-to-country benchmarking and identification of the gaps and needs in health care.

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Association between patient outcomes and key performance indicators of stroke care quality: A systematic review and meta-analysis

Cited by 37 publications

References 60 publications

Action Plan for Stroke in Europe 2018–2030

Action Plan for Stroke in Europe 2018–2030

Action Plan for Stroke in Europe 2018–2030

Enhancing and accelerating stroke treatment in Eastern European region: Methods and achievement of the ESO EAST program

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