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Specialty: Health Management
Management: Hospitals
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Total 165 results found since Jan 2013.
Stroke care networks and the impact on quality of care
This study aims to analyze the performance of the current design of stroke care networks in Bavaria, Germany, and to evaluate the improvement potential when the networks are redesigned to minimize travel distances. To this end, we define three fundamental criteria for assessing network design performance: 1) average travel distances, 2) the populace in the catchment area relative to the number of stroke units, and 3) the ratio of stroke units to lower-care hospitals. We generate several alternative stroke network designs using an analytical approach based on mathematical programming and clustering. Finally, we evaluate the...
Source: Health Care Management Science - September 25, 2021 Category: Health Management Source Type: research
Implementation of an in-hospital stroke simulation protocol
International Journal of Health Care Quality Assurance,Volume 31, Issue 6, Page 552-562, July 2018. Purpose A major component of hospital stroke care involves prompt identification of stroke in admitted patients. Delays in recognizing stroke symptoms and initiating treatment for in-hospital stroke can adversely impact patient outcomes. This quality improvement intervention used simulation together with a traditional lecture to instruct nurses at a university hospital about a new stroke protocol being implemented to increase rapid recognition of stroke and meet Joint Commission National Hospital Inpatient Quality Measures. ...
Source: International Journal of Health Care Quality Assurance - June 29, 2018 Category: Health Management Source Type: research
Optimal patient protocols in regional acute stroke care
We describe acute stroke care as a multi-flow two-level hierarchical facility location problem and the model is formulated as a mixed integer linear program. The objective of the model is the minimization of the total time until treatment in a region and it incorporates volume-dependent in-hospital delays. The resulting model is used to gain insight in the performance of practically oriented patient allocation protocols, used by EMS. We observe that the protocol of directly driving to the nearest stroke centre with s pecial facilities (i.e., the mothership protocol) performs closest to optimal, with an average total time d...
Source: Health Care Management Science - February 23, 2021 Category: Health Management Source Type: research
Potential analyses for research on occupational therapy-led training of activities of daily living in stroke patients.
Authors: Müller C, Glässel A, Marotzki U, Voigt-Radloff S
Abstract
HEALTH PROBLEM: Every year about 200,000 people in Germany suffer from a first stroke and 65,000 persons from a recurrent stroke. Stroke is one of the major causes of acquired life-long disability. It is associated with multiple limitations in functioning, activities of daily living and social participation. People with stroke must develop and apply considerable coping and adaptation strategies to manage the consequences of disabilities in daily life. Insufficient adaptations may result in social isolation, depressive disorders, need for medical a...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - December 2, 2015 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research
Stroke Investigative Research and Education Network: Community Engagement and Outreach Within Phenomics Core
We describe the (a) study sites and their communities; (b) plans for community advisory boards, focus groups, and surveys; (c) methods for data management in REDCap database; (d) analyses of qualitative data; (e) evaluation of community and public engagement across multiple sites and research teams in SSA and the United States; (f) use of RE-AIM for presentation of evaluation data; and (g) community indicators of success. This is the first of its kind public outreach engagement initiative to evaluate stroke and genomics in SSA, and has implications as a model for assessment in other high–stroke risk populations.
Source: Health Education - March 30, 2016 Category: Health Management Authors: Jenkins, C., Arulogun, O. S., Singh, A., Mande, A. T., Ajayi, E., Benedict, C. T., Ovbiagele, B., Lackland, D. T., Sarfo, F. S., Akinyemi, R., Akpalu, A., Obiako, R., Melikam, E. S., Laryea, R., Shidali, V., Sagoe, K., Ibinaiye, P., Fakunle, A. G., Owolab Tags: Articles Source Type: research
Thrombolysis ImPlementation in Stroke (TIPS): evaluating the effectiveness of a strategy to increase the adoption of best evidence practice - protocol for a cluster randomised controlled trial in acute stroke care
DiscussionTIPS will trial a comprehensive, multi-component and multidisciplinary collaborative approach to improving thrombolysis rates at multiple sites. The trial has the potential to identify methods for optimal care which can be implemented for stroke patients during the acute phase. Study findings will include barriers and solutions to effective thrombolysis implementation and trial outcomes will be published whether significant or not.Trial registration: Australian New Zealand Clinical Trials Registry: ACTRN12613000939796
Source: Implementation Science - March 25, 2014 Category: Health Management Authors: Christine PaulChristopher LeviCatherine D¿EsteMark ParsonsChristopher BladinRichard LindleyJohn AttiaFrans HenskensErin LalorMark LongworthSandy MiddletonAnnika RyanErin KerrRobert Sanson-Fisher Source Type: research
Centralisation of acute stroke services in London: Impact evaluation using two treatment groups
This study evaluates the impact of centralising London's stroke care on 7 process and outcome indicators using a difference‐in‐difference analysis with two treatment groups, Hyper Acute and discontinued London Trusts, and data on all stroke patients recorded in the hospital episode statistics database from April 2006 to April 2014. The policy resulted in improved thrombolysis treatment and lower rates of pneumonia in acute units. However, 6 indicators worsened in the Trusts that were meant to discontinue services, including deaths within 7 and 30 days, readmissions, brain scan rates, and thrombolysis treatment. The re...
Source: Health Economics - December 28, 2017 Category: Health Management Authors: Rocco Friebel, Katharina Hauck, Paul Aylin Tags: RESEARCH ARTICLE Source Type: research
Modelling mortality and discharge of hospitalized stroke patients using a phase-type recovery model
AbstractWe model the length of in-patient hospital stays due to stroke and the mode of discharge using a phase-type stroke recovery model. The model allows for three different types of stroke: haemorrhagic (the most severe, caused by ruptured blood vessels that cause brain bleeding), cerebral infarction (less severe, caused by blood clots) and transient ischemic attack or TIA (the least severe, a mini-stroke caused by a temporary blood clot). A four-phase recovery process is used, where the initial phase depends on the type of stroke, and transition from one phase to the next depends on the age of the patient. There are th...
Source: Health Care Management Science - May 1, 2018 Category: Health Management Source Type: research
The weekend effect in stroke mortality: evidence from Austrian acute care hospitals
AbstractMany studies provide evidence for the so-called weekend effect by demonstrating that patients admitted to hospital during weekends show less favourable outcomes such as increased mortality, compared with similar patients admitted during weekdays. The underlying causes for this phenomenon are still discussed controversially. We analysed factors influencing weekend effects in inpatient care for acute stroke in Austria. The study analysed secondary datasets from all 130 public acute care hospitals in Austria between 2010 and 2014 (Austrian DRG Data). The study cohort included 86,399 patient cases admitted with acute i...
Source: International Journal of Health Care Finance and Economics - November 3, 2021 Category: Health Management Source Type: research
Predictors of 30-Day Hospital Readmission Following Ischemic and Hemorrhagic Stroke
Stroke patients have a high rate of 30-day readmission. Understanding the characteristics of patients at high risk of readmission is critical. A retrospective case-control study was designed to determine factors associated with 30-day readmission after stroke. A total of 79 cases with acute ischemic or hemorrhagic strokes readmitted to the same hospital within 30 days were compared with 86 frequency-matched controls. Readmitted patients were more likely to have had ≥2 hospitalizations in the year prior to stroke (21.5% vs 2.3% in controls, P < .001), and in the multivariate model, admission National Institutes of Hea...
Source: American Journal of Medical Quality - August 24, 2015 Category: Health Management Authors: Strowd, R. E., Wise, S. M., Umesi, U. N., Bishop, L., Craig, J., Lefkowitz, D., Reynolds, P. S., Tegeler, C., Arnan, M., Duncan, P. W., Bushnell, C. D. Tags: Articles Source Type: research
Lean six sigma and stroke in rural hospital – The case of Baruch Padeh Medical Center
Batsheva Tzadok, Oran Ben Tov, Vladimir Vaispapir, Lev Shornikov, Olga Marik, Leon Martens, Eran Tal Or International Journal of Health Care Quality Assurance, Vol. 35, No. 1, pp.21-37 This case study aims to demonstrate the strengths of the Lean Six Sigma (LSS) methodology to improve the acute ischemic stroke (AIS) treatment rates and reduce process lead time at Baruch Padeh Medical Center (BPMC), a rural hospital in the Galilee region of Northern Israel. The LSS project redefined the BPMC stroke care pathway and increased its efficacy.The LSS methodology was implemented in September 2017 by integrating lean principles a...
Source: International Journal of Health Care Quality Assurance - January 26, 2022 Category: Health Management Authors: Batsheva Tzadok Oran Ben Tov Vladimir Vaispapir Lev Shornikov Olga Marik Leon Martens Eran Tal Or Source Type: research
Effects of a 4‐week transitional care programme for discharged stroke survivors in Hong Kong: a randomised controlled trial
This study was a randomised controlled trial conducted to test the effectiveness of a transitional care programme (TCP) which was a nurse‐led 4‐week programme designed based on the assessment–intervention–evaluation Omaha System framework. Between August 2010 and October 2011, 108 stroke patients who were discharged home, able to communicate, and had slight to moderate neurological deficits and disability were randomised into control (n = 54) and intervention groups (n = 54). Data on the patient‐related and clinical outcomes were collected at baseline, 4 weeks when the TCP was completed and 8 weeks after di...
Source: Health and Social Care in the Community - December 3, 2014 Category: Health Management Authors: Frances Kam Yuet Wong, Siu Ming Yeung Tags: Original Article Source Type: research
Ischemic stroke: clinical pathway impact
International Journal of Health Care Quality Assurance,Volume 32, Issue 3, Page 588-598, April 2019. Purpose A clinical pathway for patients with acute ischemic stroke was implemented in 2014 by one Italian teaching hospital multidisciplinary team. The purpose of this paper is to determine whether this clinical pathway had a positive effect on patient management by comparing performance data. Design/methodology/approach Volume, process and outcome indicators were analyzed in a pre-post retrospective observational study. Patients ’ (admitted in 2013 and 2015) medical records with International Classification of Diseases, ...
Source: International Journal of Health Care Quality Assurance - April 24, 2019 Category: Health Management Source Type: research
