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Permanent link (DOI): https://doi.org/10.7939/R3ZW41

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Quality indicators for patients presenting to emergency departments with cerebrovascular events: A chart review and prospective study of transient ischemic attacks and stroke within the Alberta Health Services-Edmonton Zone Open Access

Descriptions

Other title
Subject/Keyword
Quality
Stroke
Emergency
Type of item
Thesis
Degree grantor
University of Alberta
Author or creator
Pasichnyk, Dion W
Supervisor and department
Rowe, Brian (Emergency Medicine)
Examining committee member and department
Voaklander, Don (School of Public Health)
Butcher, Ken (Medicine - Neurology)
Department
School of Public Health Sciences
Specialization
Epidemiology
Date accepted
2013-01-10T13:12:14Z
Graduation date
2013-06
Degree
Master of Science
Degree level
Master's
Abstract
This thesis presents the results from a retrospective chart review of medical records and a prospective patient interview of stroke patients within the AHS Edmonton-Zone emergency departments. Of 7330 charts reviewed, 17% had a diagnosis other than stroke/TIA (misclassified). Of the 336 patients interviewed, standardized questionnaires significantly outperformed ED charting for documentation of timing of symptom onset, location of stroke event, and smoking histories. Analysis of quality of care indicators (QCI) demonstrated that the AHS-Edmonton Zone EDs performed variably when treating stroke; however, they failed to meet nationally accepted benchmarks for all critical time requirements. QCIs are merely a mechanism to evaluate performance and stimulate change within clinical settings; however, they also have the potential to generate new ideas and directions regarding how management (e.g., stroke) can be improved. Robust performance evaluation and feedback can identify areas for improvements and drive clinical care change.
Language
English
DOI
doi:10.7939/R3ZW41
Rights
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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