A cluster-randomised quality improvement study to improve two inpatient stroke quality indicators

Linda Williams, Virginia Daggett, James E. Slaven, Zhangsheng Yu, Danielle Sager, Jennifer Myers, Laurie Plue, Heather Woodward-Hagg, Teresa Damush

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Quality indicator collection and feedback improves stroke care. We sought to determine whether quality improvement training plus indicator feedback was more effective than indicator feedback alone in improving inpatient stroke indicators. Methods: We conducted a cluster-randomised quality improvement trial, randomising hospitals to quality improvement training plus indicator feedback versus indicator feedback alone to improve deep vein thrombosis (DVT) prophylaxis and dysphagia screening. Intervention sites received collaborative-based quality improvement training, external facilitation and indicator feedback. Control sites received only indicator feedback. We compared indicators preimplementation (pre-I) to active implementation (active-I) and post-implementation (post-I) periods. We constructed mixed-effect logistic models of the two indicators with a random intercept for hospital effect, adjusting for patient, time, intervention and hospital variables. Results: Patients at intervention sites (1147 admissions), had similar race, gender and National Institutes of Health Stroke Scale scores to control sites (1017 admissions). DVT prophylaxis improved more in intervention sites during active-I period (ratio of ORs 4.90, p

Original languageEnglish (US)
Pages (from-to)257-264
Number of pages8
JournalBMJ Quality and Safety
Volume25
Issue number4
DOIs
StatePublished - Apr 1 2016

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Quality Improvement
Inpatients
Stroke
Venous Thrombosis
National Institutes of Health (U.S.)
Deglutition Disorders
Catalytic Domain
Logistic Models

ASJC Scopus subject areas

  • Health Policy

Cite this

A cluster-randomised quality improvement study to improve two inpatient stroke quality indicators. / Williams, Linda; Daggett, Virginia; Slaven, James E.; Yu, Zhangsheng; Sager, Danielle; Myers, Jennifer; Plue, Laurie; Woodward-Hagg, Heather; Damush, Teresa.

In: BMJ Quality and Safety, Vol. 25, No. 4, 01.04.2016, p. 257-264.

Research output: Contribution to journalArticle

Williams, Linda ; Daggett, Virginia ; Slaven, James E. ; Yu, Zhangsheng ; Sager, Danielle ; Myers, Jennifer ; Plue, Laurie ; Woodward-Hagg, Heather ; Damush, Teresa. / A cluster-randomised quality improvement study to improve two inpatient stroke quality indicators. In: BMJ Quality and Safety. 2016 ; Vol. 25, No. 4. pp. 257-264.
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