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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

  • Author / Creator
    Pasichnyk, Dion W
  • 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.

  • Subjects / Keywords
  • Graduation date
    2013-06
  • Type of Item
    Thesis
  • Degree
    Master of Science
  • DOI
    https://doi.org/10.7939/R3ZW41
  • License
    This thesis is made available by the University of Alberta Libraries with permission of the copyright owner solely for non-commercial purposes. This thesis, or any portion thereof, may not otherwise be copied or reproduced without the written consent of the copyright owner, except to the extent permitted by Canadian copyright law.
  • Language
    English
  • Institution
    University of Alberta
  • Degree level
    Master's
  • Department
    • School of Public Health Sciences
  • Specialization
    • Epidemiology
  • Supervisor / co-supervisor and their department(s)
    • Rowe, Brian (Emergency Medicine)
  • Examining committee members and their departments
    • Butcher, Ken (Medicine - Neurology)
    • Voaklander, Don (School of Public Health)