Quality indicators for patients presenting to emergency departments with cerebrovascular events: A chart review and prospective study of transient ischemic attacks and stroke within the Alberta Health Services-Edmonton ZoneReportar como inadecuado




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Quality, Stroke, Emergency

Pasichnyk, Dion W

Supervisor and department: Rowe, Brian Emergency Medicine

Examining committee member and department: Voaklander, Don School of Public Health Butcher, Ken Medicine - Neurology

Department: School of Public Health Sciences

Specialization: Epidemiology

Date accepted: 2013-01-10T13:12:14Z

Graduation date: 2013-06

Degree: Master of Science

Degree level: Master's

Abstract: This thesis presents the results from a retrospective chart review of medical records and a prospective patient interview of stroke patients within the AHS Edmonton-Zone emergency departments. Of 7330 charts reviewed, 17% had a diagnosis other than stroke-TIA misclassified. Of the 336 patients interviewed, standardized questionnaires significantly outperformed ED charting for documentation of timing of symptom onset, location of stroke event, and smoking histories. Analysis of quality of care indicators QCI demonstrated that the AHS-Edmonton Zone EDs performed variably when treating stroke; however, they failed to meet nationally accepted benchmarks for all critical time requirements. QCIs are merely a mechanism to evaluate performance and stimulate change within clinical settings; however, they also have the potential to generate new ideas and directions regarding how management e.g., stroke can be improved. Robust performance evaluation and feedback can identify areas for improvements and drive clinical care change.

Language: English

DOI: doi:10.7939-R3ZW41

Rights: Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.





Autor: Pasichnyk, Dion W

Fuente: https://era.library.ualberta.ca/



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