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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...

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Autores principales: De Cola, Maria Cristina, Ielo, Augusto, Corallo, Francesco, Pollina Addario, Sebastiano, Scondotto, Salvatore, Allotta, Alessandra, Fantaci, Giovanna, Bramanti, Placido, Ciurleo, Rosella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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