Better Outcomes Through Organised Stroke Management

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Challenges of delivering evidence‐based stroke services for

The World Stroke Organization (WSO) 1 suggests that mortal-ity and morbidity from stroke could be significantly reduced through organised stroke care, including the implementation of evidence‐based clinical practice guidelines and adoption of a continuous quality improvement philosophy. The develop-

What s Happening

of cancer. This will ensure better management outcomes and higher chances of survival for cancer patients , says Professor Ronald Wasike, a consultant breast surgeon at Aga Khan University Hospital. Dr John Weru, Palliative Medicine Specialist at the hospital explained that there has been a rapid growth in the number of cancer patients

Segmentation for Outcomes

Outcomes Based Healthcare obhuk copyright 2016 2. Segmentation Model In Detail OBH have adapted and extended the Bridges to Health segmentation model, to create a data-driven segmentation model, suitable for outcomes measurement and outcomes based commissioning in the UK.

Long-term trends in death and dependence after ischaemic

timely management in order to improve their outcomes [1,7]. Therefore, quality improvement initiatives have included providing universal access to organised stroke services; reducing time to computed tomography (CT) scan; increasing the proportion of patients receiving intravenous

Self-efficacy and health-related quality of life: a cross

patients self-management potential and has been recom-mended as a component of chronic care management [20]. Marks et al. [21] hypothesised that higher self-efficacy is associated with better outcomes, and that better outcomes reduce health services burden. A meta-analysis concluded that self-management support

Nursing at the centre of stroke recovery in the acute setting

Nurses involvement in stroke rehabilitation has been limited in the past (Clarke, 2013). Although, they play a pivotal role in rehabilitation and are available 24 hours per day (Burton, 2000). Consequently, they are well placed to facilitate rehabilitation resulting in better outcomes (Duncan et al, 2005; Clarke, 2013).


outcomes are better when there are more senior doctors on site 24/7 and this is becoming increasingly difficult to achieve in smaller units. 3. Stroke Care - The evidence suggests that, patients who are admitted to a hyper-acute stroke unit that is compliant with standards for acute stroke care are likely to have better outcomes.

National clinical guideline for stroke

evidence showing that the way stroke care is organised and staffed can make a big difference to the chances of recovery. This guideline is the most comprehensive and up to date document on how stroke care should be provided covering the whole pathway from pre-hospital care to long-term management. It is de-

Anticoagulation Therapy for Left Ventricular Thrombus

Oct 20, 2020 excess stroke emerged late, long after the generally accepted window of time needed for anticoagulation. this study begs for better understanding of the off -label use of DOACS and prompts a call for larger studies JAMA Cardiol. 2020;5(6):692-693


The New Zealand guideline for management of stroke proposes that the most important intervention which can improve outcomes for all people with stroke is the provision of organised stroke services For the purposes of the guideline organised stroke services covers. 15:

Supporting life after stroke - Care Quality Commission

Building on the work of the Stroke Improvement Programme and stroke networks, the Department of Health should help ensure that: 11. Support is in place to complete the implementation of the National Stroke Strategy. 12. The new systems through which health and social services are commissioned and

New technology brings better stroke outcomes

Sep 11, 2019 Lawson organised a cupcake fundraiser for the Stroke Foundation, with the baked goodies decorated in a superhero theme. At Hervey Bay Hospital, the Allied Health team also got behind the FAST heroes message with themed shirts, capes and face masks. The team members also promoted FAST heroes through displays, balloons and material that were


diabetes 31 and stroke care 32 with improved clinical outcomes. There is a large body of evidence showing the effectiveness of using a team as part of disease management, especially for chronic disease (e.g., heart failure, diabetes, and hypertension) 28. Advantages of team

Improving supported self-management for people with diabetes

positive outcomes such as: fewer primary care consultations, reduction in visits to outpatient departments and A&E reduced length of stay when in hospital better communication between professionals and patients behaviour change leading to a healthier lifestyle better symptom management resulting in a reduction in pain, stress,

Integrated care for patients with a stroke in the Netherlands

higher efficiency and better patient outcomes by reducing hospital length of stay (down to 10 11 days) and inappropriate hospital days. The Edisse research has resulted in a set of criteria for stroke services, to be used for optimising the quality of care and the outcomes for patients with a stroke and for their central caregivers [26, 27].

Public Health: The Science and Art

The Science and Art The science and art of promoting and protecting health and well-being, preventing ill-health and prolonging life through the organised efforts of


A distinctive feature of stroke units in the systematic review was the early active involvement of carers in the rehabilita-tion process. Patients and carers were routinely provided with information on stroke disease, stroke management, second-ary prevention, and support services. Care pathways It is possible to draw some general conclusions


5. The Efficacy of Stroke Rehabilitation pg. 6 of 41. organised stroke unit care resulted in longer hospital stay. The benefits of specialized stroke care were independent of age, sex, stroke severity, or stroke type. Given that the evidence for organized stroke units was mainly derived from clinical trials, it is

BEST PRACTICE Management of stroke - BMJ

Outcomes were independent of patient age, sex, and stroke severity and appeared to be better in stroke units based in a geographically discrete ward. There was no indication that organised stroke unit care resulted in increased hospital stay8 and it is likely to be cost saving. Stroke units have also been


A systematic review concluded that organised inpatient (stroke unit) care reduced the risk of death after stroke through the prevention and treatment of complications 68. In addition a cluster RCT which assessed patient outcomes 90 days after hospital admission for stroke following either a multidisciplinary intervention (management of

Better pathways for people with aphasia INTRODUCTION

Stroke 2012 Conference - A combined event of the Stroke Society of Australasia 2012 Annual Scientific Meeting and the 8th Smart Strokes Australasian Nursing and Allied Health Stroke Conference, Sydney, Australia, (9-9). 29 - 31 August 2012. Rohde, A., Worrall, L., Le Dorze, G., (In Press). Analysis of the quality of clinical guidelines for

Lifting the Rating

An important aspect of stroke management is the way in which patients are assessed and transferred to a tertiary unit when this is in their best overall interests. Outcomes and fundin As with many medical conditions, there is no consisteng t measurement of outcomes for stroke patients in WA. Little information about

The importance of multidisciplinary teamwork in stroke

stroke leads to better functional outcomes for stroke patients Interdisciplinary working is a key component of organised stroke units REVIHR study conducted in four stroke units across the East Midlands What care is received by stroke survivors in the stroke rehabilitation ward?


in organised stroke services improves patient outcomes and saves overall costs for health and social care. Put another way, poor stroke care costs money and lives. Roads to Recovery should help those making decisions about stroke systems and services to deliver better care. Key findings from NIHR research featured in this report are summarised

Attitude and perception of physical therapists towards

May 25, 2016 Data was collected through structured questionnaire Attitude Towards Health Care Team Scale (ATHCT) and analyzed through SPSS version 20. RESULTS Findings indicate that the perception of physical therapists towards multidisciplinary team approach is excellent with better outcomes. They believe in team work while treating stroke patients for early

Association between patient outcomes and key performance

Jul 26, 2017 range of stroke KPIs, which offer proxy measures for ideal care being delivered. In turn, this would lead to evidence of better patient outcomes.11 In a previous systematic review of the association between stroke quality (performance) indicators and patient-centred outcomes, out of 14 studies that met

What we think about: Reorganising acute stroke services

While being treated on any stroke unit is better than not being treated on a stroke unit, we know that larger stroke units (HASUs) work more efficiently than smaller ones. Better organised stroke care as in HASUs has been shown to reduce mortality.2 They are better staffed, have the latest equipment, open 24 hours a day and

the diabetes epidemic and its impact on Europe

improved management People with well-controlled diabetes achieve better outcomes. a patient-centred approach to care involving monitoring, and collecting of outcomes data can help keep people with chronic diseases healthier through all of the phases of prevention, early detection and improved management, a coordinated approach

SESSION 1: Responding to

Improving access to stroke unit beds in stroke unit hospitals. Improving existing organised stroke care through the ACI Statewide Stroke Clinical Variation Strategy (SSCVS) which offers expansion of the piloted process of audit and feed-back to 30-40 sites. Evaluate and improve Stroke Thrombolysis and the Early Stroke Reperfusion Programme.

How should stroke services be organised?

hospital and in the community. Second, its management How should stroke services be organised? Peter Langhorne Professor of Stroke Care, University of Glasgow, Scotland, UK The organisation of stroke services has become a topical subject.1 This interest mirrors an increased awareness of the public health implications of stroke especially in

Report of the Review of the Quality and Outcomes Framework in

The Quality and Outcomes Framework is one of the biggest pay for performance schemes in the world, worth £691 million in 2016/17. It has had a clear impact on how general practice is organised and delivered, having played a major part in the standardisation of long term condition care, use of clinical IT systems and a

Spotlight on 2015 - RAND

prescription of stroke prevention drugs relative to patient needs. To tackle these issues and achieve better outcomes for AF patients, the team recommended that awareness of AF among the public and policymakers should be improved, and health professionals and patients given more education on AF management. They stressed

Improving patient flow - Health Foundation

outcomes in two NHS hospital trusts: South Warwickshire NHS Foundation Trust and Sheffield Teaching Hospitals NHS Trust. The programme helped the trusts to examine patient flow through the emergency care pathway and develop ways in which capacity could be better matched with demand, preventing queues and poor outcomes for patients.

Strategies to improve outcomes after acute stroke

until 1993 did it become clear that management in a stroke care unit reduced morbidity and mortality compared with general ward management 8 and, more recently, that patients treated in physically discrete units have better outcomes than those who are dispersed in different locations and rely on mobile stroke teams.9 Thrombolysis with tissue plas-

European Stroke Organisation treatment in Eastern European

Jul 01, 2019 shown to be associated with better outcomes after stroke.5,6,8 11 Therefore, participation in quality moni-toring is highly desirable and the most recent interna-tional stroke care guidelines support quality monitoring becoming a routine part of clinical care.4,12 Based on a recent systematic review, some quality

Early Supported Discharge Workshop

Be organised by a co-ordinator Have a coordinated MDT meeting at least once a week for the interchange of individual patient information Each patient be assigned a key-worker Provide training for junior professionals in the speciality of stroke Have agreed protocols for the management of common problems based on available


health outcomes.1-3 Nonetheless, self-management in stroke is a challenge; it is multifaceted and relies on a combination of medications, technical aids, and professional care. In addition, the sudden and complex disabling consequences of a stroke hinder patient participation. It is important to identify an

Patient-centred health care in primary care: an overview

plans and improve quality of life and clinical outcomes.3 Our health system increasingly relies on patient involvement. It is well recognised that, consistent with global experience, Australian health care is in transition from a system set up to manage acute disease to a system organised for effective prevention and control of

Stroke Clinical Audit Process - Agency for Clinical Innovation

levels of organised stroke care and differing estimates of 30-day mortality as reported by BHI in 2012. Analysis of the six pilot audits suggested an explanation for the unwarranted clinical variation, with varying levels of adherence with important clinical processes, and widely varying access to stroke unit (SU) beds. The lessons were heeded and