Quality standards to guide best practice in stroke care
NZ health services use best practice guidelines for delivery of patient centered acute and rehabilitation stroke services. Stroke guidelines and service specifications inform our standards of clinical practice and service delivery.
Audit in healthcare is a process used by health professionals to assess, evaluate and improve care of patients in a systematic way. Audit tools measure current practice against a defined (desired) standard. It forms part of clinical governance, which aims to safeguard a high quality of clinical care for patients.
The National Stroke Network has developed recommended minimum service specifications for DHBs. They include acute and rehabilitation specifications and acute credentialing recommendations.
There are four indicators for stroke that monitor:
1. Admission to a Stroke Unit2. Reperfusion rates for acute stroke3. Timely transfer to inpatient rehabilitation4. Timely rehabilitation in the community
Use the Audit Cycle flow diagram above to guide correct coding for 'stroke'. Download diagram
National Reperfusion Registry
Alert 17 Alteplase or Tenecteplase?
Alert 18 Thrombolysis for acute ischaemic stroke
2009 Acute Stroke Audit NZ
Speech Language Therapy Survey 2017
Health Quality and Safety Commission