Researchers Recommend 8 Quality Indicators for Stroke Care Performance

Researchers from across the country, including Yale-New Haven (Conn.) Hospital and Vanderbilt University Medical Center in Nashville, have recommended eight quality indicators for performance reporting on stroke care, according to a study published in Circulation: Cardiovascular Quality and Outcomes.

For their study, researchers analyzed 3,812 veterans with ischemic stroke during 2007. The quality of the patients' stroke care was measured with 13 quality indicators, and researchers sought to determine if reporting of the indicators was complicated with estimation errors.

 



Of the 13 quality indicators studied, the researchers recommended eight for quality reporting: dysphagia screening, National Institutes of Health Stroke Scale documentation, early ambulation, fall risk assessment, pressure ulcer risk assessment, Functional Independence Measure documentation, lipid management and deep vein thrombosis prophylaxis.

The researchers recommended these eight quality indicators for several reasons, including demonstration of sufficient variation across healthcare environments. The other five indicators were not recommended due to too few eligible patients or high pass rates with little variation.

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