Variations in Quality Indicators of Acute Stroke Care in 6 European Countries: The European Implementation Score (EIS) Collaboration.
(2012) In Stroke: a journal of cerebral circulation 43(2). p.458-463- Abstract
- BACKGROUND AND PURPOSE: Quality indicators serve as standards of care by which performance of individual hospitals is measured. Although several audits for monitoring quality of stroke care have been established in Europe, there is currently no consensus on quality indicators for acute stroke care or for methodology for collecting information on these measures. METHODS: An up-to-date inventory on European stroke audits in place in 2006 was performed in the course of a project funded by the European Union (European Implementation Score Collaboration [EIS]). Two regional (Flanders, Belgium; Catalonia, Spain) and 4 national (Germany, Scotland, Sweden, England/Wales/Northern Ireland) stroke audits took part. Between November 2009 and July... (More)
- BACKGROUND AND PURPOSE: Quality indicators serve as standards of care by which performance of individual hospitals is measured. Although several audits for monitoring quality of stroke care have been established in Europe, there is currently no consensus on quality indicators for acute stroke care or for methodology for collecting information on these measures. METHODS: An up-to-date inventory on European stroke audits in place in 2006 was performed in the course of a project funded by the European Union (European Implementation Score Collaboration [EIS]). Two regional (Flanders, Belgium; Catalonia, Spain) and 4 national (Germany, Scotland, Sweden, England/Wales/Northern Ireland) stroke audits took part. Between November 2009 and July 2010, 2 standardized surveys and a series of interviews were performed to determine characteristics, methods, and content of these quality initiatives. For quality purposes, all summarized information was validated by representatives of the respective audits. RESULTS: Overall, 123 quality indicators (91 process, 24 outcome, and 8 structural indicators) were identified. Anticoagulants in patients with atrial fibrillation and brain imaging were the only quality indicators used in all, whereas another 13 indicators were used in at least 2 of the quality initiatives. Substantial variations were found across the audits in terms of the development process of quality indicators, inclusion criteria, participation, population coverage, data documentation, follow-ups, benchmarking, and feedback of results to participants. CONCLUSIONS: There is a huge variety in measuring performance of acute stroke care in Europe, hampering valid comparisons of acute stroke care. Common standards for defining quality indicators and collecting information required for these measures should be defined in Europe. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/2274189
- author
- organization
- publishing date
- 2012
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- stroke audits, stroke care, stroke registers, quality of health care, quality indicators
- in
- Stroke: a journal of cerebral circulation
- volume
- 43
- issue
- 2
- pages
- 458 - 463
- publisher
- American Heart Association
- external identifiers
-
- wos:000299798300032
- pmid:22156695
- scopus:84856414289
- pmid:22156695
- ISSN
- 1524-4628
- DOI
- 10.1161/STROKEAHA.111.628396
- language
- English
- LU publication?
- yes
- id
- 940aa7f1-db19-4349-95a8-9c673123bade (old id 2274189)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/22156695?dopt=Abstract
- date added to LUP
- 2016-04-01 12:56:13
- date last changed
- 2025-04-04 15:14:57
@article{940aa7f1-db19-4349-95a8-9c673123bade,
abstract = {{BACKGROUND AND PURPOSE: Quality indicators serve as standards of care by which performance of individual hospitals is measured. Although several audits for monitoring quality of stroke care have been established in Europe, there is currently no consensus on quality indicators for acute stroke care or for methodology for collecting information on these measures. METHODS: An up-to-date inventory on European stroke audits in place in 2006 was performed in the course of a project funded by the European Union (European Implementation Score Collaboration [EIS]). Two regional (Flanders, Belgium; Catalonia, Spain) and 4 national (Germany, Scotland, Sweden, England/Wales/Northern Ireland) stroke audits took part. Between November 2009 and July 2010, 2 standardized surveys and a series of interviews were performed to determine characteristics, methods, and content of these quality initiatives. For quality purposes, all summarized information was validated by representatives of the respective audits. RESULTS: Overall, 123 quality indicators (91 process, 24 outcome, and 8 structural indicators) were identified. Anticoagulants in patients with atrial fibrillation and brain imaging were the only quality indicators used in all, whereas another 13 indicators were used in at least 2 of the quality initiatives. Substantial variations were found across the audits in terms of the development process of quality indicators, inclusion criteria, participation, population coverage, data documentation, follow-ups, benchmarking, and feedback of results to participants. CONCLUSIONS: There is a huge variety in measuring performance of acute stroke care in Europe, hampering valid comparisons of acute stroke care. Common standards for defining quality indicators and collecting information required for these measures should be defined in Europe.}},
author = {{Wiedmann, Silke and Norrving, Bo and Nowe, Tim and Abilleira, Sònia and Asplund, Kjell and Dennis, Martin and Hermanek, Peter and Rudd, Anthony and Thijs, Vincent and Wolfe, Charles D A and Heuschmann, Peter U}},
issn = {{1524-4628}},
keywords = {{stroke audits; stroke care; stroke registers; quality of health care; quality indicators}},
language = {{eng}},
number = {{2}},
pages = {{458--463}},
publisher = {{American Heart Association}},
series = {{Stroke: a journal of cerebral circulation}},
title = {{Variations in Quality Indicators of Acute Stroke Care in 6 European Countries: The European Implementation Score (EIS) Collaboration.}},
url = {{http://dx.doi.org/10.1161/STROKEAHA.111.628396}},
doi = {{10.1161/STROKEAHA.111.628396}},
volume = {{43}},
year = {{2012}},
}