Optimizing Outcomes in Acute Stroke: Applying Evidence Based Stroke Guidelines to Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/156277
Type:
Presentation
Title:
Optimizing Outcomes in Acute Stroke: Applying Evidence Based Stroke Guidelines to Practice
Abstract:
Optimizing Outcomes in Acute Stroke: Applying Evidence Based Stroke Guidelines to Practice
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Bader, Mary Kay, RN, MSN, CCNS, CCRN, CNRN
P.I. Institution Name:Mission Hospital Regional Medical Center
Title:Neuroscience/Critical Care Clinical Nurse Specialist
Co-Authors:Melody Davidson, RN, MN, CNS
[Evidence-based Presentation] In 2003, the Brain Attack Coalition in conjunction with the American Stroke Association and JCAHO developed evidence based recommendations for optimizing outcomes in patients with acute stroke. The JCAHO established "Primary Stroke Centers", recognizing hospitals' efforts to improve practices aimed at reducing morbidity and mortality for stroke patients. Mission Hospital examined the outcomes of stroke patients admitted between 2002-2003 and found a 5.9% mortality, 14% failure to rescue, and a 2.2% incidence of aspiration pneumonia in acute ischemic stroke patients. The mortality rate was higher at Mission when compared to similar non-teaching community hospitals with the top-quartile hospitals mortality rates at 3.7%. Mission was challenged to evaluate their care practices and clinical outcomes of this high-risk group.á Motivated by the new practice recommendations and potential for impacting patient outcomes, neuro services formed a multidisciplinary team to begin the process of performance improvement. Patient management practices were examined and relevant research evaluated. Baseline data was measured using the JCAHO measures and a data base measuring the incidence of aspiration pneumonia and mortality. The team melded national guidelines and supporting literature into hospital based protocols. Personnel from all disciplines including rehab were integrated into care processes with early consultation with rehab within 24 hours of patient admission. Prospective data was collected and care patterns analyzed. Two stroke protocols were implemented in January 2005. Outcome statistics gathered in early 2006 revealed: mortality 2.3%, 0% failure to rescue, and aspiration pneumonia 0.02%. The JCAHO measures revealed increased compliance with all ten when compared to the initial baseline statistics. This presentation will utilize a performance improvement approach revealing the actions used by the team to apply evidence based guidelines and literature to the clinical setting. Statistical analysis will provide outcome data emphasizing the positive aspects of applying evidence based guidelines/literature to practice.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleOptimizing Outcomes in Acute Stroke: Applying Evidence Based Stroke Guidelines to Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156277-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Optimizing Outcomes in Acute Stroke: Applying Evidence Based Stroke Guidelines to Practice</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bader, Mary Kay, RN, MSN, CCNS, CCRN, CNRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Mission Hospital Regional Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Neuroscience/Critical Care Clinical Nurse Specialist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Badermk@aol.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Melody Davidson, RN, MN, CNS</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Presentation] In 2003, the Brain Attack Coalition in conjunction with the American Stroke Association and JCAHO developed evidence based recommendations for optimizing outcomes in patients with acute stroke. The JCAHO established &quot;Primary Stroke Centers&quot;, recognizing hospitals' efforts to improve practices aimed at reducing morbidity and mortality for stroke patients. Mission Hospital examined the outcomes of stroke patients admitted between 2002-2003 and found a 5.9% mortality, 14% failure to rescue, and a 2.2% incidence of aspiration pneumonia in acute ischemic stroke patients. The mortality rate was higher at Mission when compared to similar non-teaching community hospitals with the top-quartile hospitals mortality rates at 3.7%. Mission was challenged to evaluate their care practices and clinical outcomes of this high-risk group.&aacute; Motivated by the new practice recommendations and potential for impacting patient outcomes, neuro services formed a multidisciplinary team to begin the process of performance improvement. Patient management practices were examined and relevant research evaluated. Baseline data was measured using the JCAHO measures and a data base measuring the incidence of aspiration pneumonia and mortality. The team melded national guidelines and supporting literature into hospital based protocols. Personnel from all disciplines including rehab were integrated into care processes with early consultation with rehab within 24 hours of patient admission. Prospective data was collected and care patterns analyzed. Two stroke protocols were implemented in January 2005. Outcome statistics gathered in early 2006 revealed: mortality 2.3%, 0% failure to rescue, and aspiration pneumonia 0.02%. The JCAHO measures revealed increased compliance with all ten when compared to the initial baseline statistics. This presentation will utilize a performance improvement approach revealing the actions used by the team to apply evidence based guidelines and literature to the clinical setting. Statistical analysis will provide outcome data emphasizing the positive aspects of applying evidence based guidelines/literature to practice.</td></tr></table>en_GB
dc.date.available2011-10-26T14:37:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:37:36Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.