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Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke
Stroke is the leading global cause of permanent disability and the second leading cause of dementia within the first year of the event. Systematic quality improvement interventions such as Audit & Feedback (A&F) can monitor and improve the performance of post-stroke care in conjunction with...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378746/ https://www.ncbi.nlm.nih.gov/pubmed/37510506 http://dx.doi.org/10.3390/healthcare11142065 |
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author | De Cola, Maria Cristina Ielo, Augusto Corallo, Francesco Pollina Addario, Sebastiano Scondotto, Salvatore Allotta, Alessandra Fantaci, Giovanna Bramanti, Placido Ciurleo, Rosella |
author_facet | De Cola, Maria Cristina Ielo, Augusto Corallo, Francesco Pollina Addario, Sebastiano Scondotto, Salvatore Allotta, Alessandra Fantaci, Giovanna Bramanti, Placido Ciurleo, Rosella |
author_sort | De Cola, Maria Cristina |
collection | PubMed |
description | Stroke is the leading global cause of permanent disability and the second leading cause of dementia within the first year of the event. Systematic quality improvement interventions such as Audit & Feedback (A&F) can monitor and improve the performance of post-stroke care in conjunction with the use of quality indicators (QIs). The scientific literature shows limited studies on quality improvement and QIs design for poststroke rehabilitation. In Italy, the National Outcomes Evaluation Programme (PNE) annually provides several QIs concerning the acute wards. On the contrary, indicators for quality assessment of post-acute stroke rehabilitation are not available nationwide. In recent years, the Italian Ministry of Health has funded a national network project, the aim of which is to provide and evaluate the effectiveness of A&F strategies in healthcare improvement. Part of this project is the development of a set of IQs for ischemic stroke rehabilitation used to conduct an A&F. In this study, we describe the design and development process of these QIs from administrative databases and report the results of the pilot test conducted on a small sample of Sicilian rehabilitation facilities, comparing them from 2019 to 2021. Feedback from the participating centers was mainly positive, and the quality indicators were found to be comprehensible and appreciated. However, the study highlighted the need for better adherence to indicators measuring processes of rehabilitation care. The set of quality indicators presented in this study, relevant to inpatient settings, could be considered a starting point on which to base quality improvement initiatives both nationally and internationally. |
format | Online Article Text |
id | pubmed-10378746 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103787462023-07-29 Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke De Cola, Maria Cristina Ielo, Augusto Corallo, Francesco Pollina Addario, Sebastiano Scondotto, Salvatore Allotta, Alessandra Fantaci, Giovanna Bramanti, Placido Ciurleo, Rosella Healthcare (Basel) Article Stroke is the leading global cause of permanent disability and the second leading cause of dementia within the first year of the event. Systematic quality improvement interventions such as Audit & Feedback (A&F) can monitor and improve the performance of post-stroke care in conjunction with the use of quality indicators (QIs). The scientific literature shows limited studies on quality improvement and QIs design for poststroke rehabilitation. In Italy, the National Outcomes Evaluation Programme (PNE) annually provides several QIs concerning the acute wards. On the contrary, indicators for quality assessment of post-acute stroke rehabilitation are not available nationwide. In recent years, the Italian Ministry of Health has funded a national network project, the aim of which is to provide and evaluate the effectiveness of A&F strategies in healthcare improvement. Part of this project is the development of a set of IQs for ischemic stroke rehabilitation used to conduct an A&F. In this study, we describe the design and development process of these QIs from administrative databases and report the results of the pilot test conducted on a small sample of Sicilian rehabilitation facilities, comparing them from 2019 to 2021. Feedback from the participating centers was mainly positive, and the quality indicators were found to be comprehensible and appreciated. However, the study highlighted the need for better adherence to indicators measuring processes of rehabilitation care. The set of quality indicators presented in this study, relevant to inpatient settings, could be considered a starting point on which to base quality improvement initiatives both nationally and internationally. MDPI 2023-07-19 /pmc/articles/PMC10378746/ /pubmed/37510506 http://dx.doi.org/10.3390/healthcare11142065 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article De Cola, Maria Cristina Ielo, Augusto Corallo, Francesco Pollina Addario, Sebastiano Scondotto, Salvatore Allotta, Alessandra Fantaci, Giovanna Bramanti, Placido Ciurleo, Rosella Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke |
title | Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke |
title_full | Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke |
title_fullStr | Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke |
title_full_unstemmed | Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke |
title_short | Development of a Set of Indicators for Measuring and Improving Quality of Rehabilitation Care after Ischemic Stroke |
title_sort | development of a set of indicators for measuring and improving quality of rehabilitation care after ischemic stroke |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378746/ https://www.ncbi.nlm.nih.gov/pubmed/37510506 http://dx.doi.org/10.3390/healthcare11142065 |
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