Quality standards to guide best practice in stroke care
NZ health services use best practice guidelines for the delivery of patient-centred 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.
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The National Stroke Network has developed recommended minimum service specifications for DHBs. They include acute and rehabilitation specifications and acute credentialing recommendations.
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There are four indicators for stroke that monitor:
1. Admission to a Stroke Unit
2. Reperfusion rates for acute stroke
3. Timely transfer to inpatient rehabilitation
4. Timely rehabilitation in the community
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Use the Audit Cycle flow diagram above to guide correct coding for 'stroke'. Download diagram
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The National Reperfusion Registry captures important data about all patients with acute stroke who are treated with IV thrombolysis or stroke clot retrieval (thrombectomy) in New Zealand. This data helps the National Stroke Network and stroke clinicians to identify trends that can lead to improved quality of stroke services. Results are monitored quarterly and presented for peer review and discussion at the annual National Reperfusion Data and Quality Meeting.
For any inquiries please contact the data custodian Registry Governance Group Chair A/Prof Anna Ranta anna.ranta@otago.ac.nz
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The Regions care study is underway, with national and institutional ethics approvals in place. A total of 2379 patients have been recruited for Part 1, Study A; 6837 patients have been recruited for Part 1, Study B; 10 focus groups have been conducted and 70 surveys have been completed in Part 2. Data collection has essentially been completed, including follow-up assessment; however, primary and secondary analyses, data linkage, data validation, and health economics analysis are still underway. REGIONS care Study Protocol Paper:
The impact of ethnicity on stroke care access and patient outcomes: a New Zealand nationwide observation study
New Zealand hospital stroke service provision
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