A Structured Rounding Proforma in the Hyper Acute Stroke Unit (HASU): A Quality Improvement Project

Ludley, A (通讯作者),Royal Sussex Cty Hosp, Acad Fdn doctor Med Educ, Brighton, England.
2023-1-2
Strokes affect 100,000 patients annually in the United Kingdom. These patients are often complex and require multidisciplinary team input, hence why they are often treated within dedicated and highly specialized hyper acute stroke units. However, such specialist care can prove challenging to recently qualified or more junior doctors, who may miss pertinent aspects of the history or examination within the daily patient rounding documentation. Building on evidence-based practice using structured rounds and checklists, this quality improvement aimed to improve adherence of documentation for 20 predetermined key components of a stroke round by introducing a structured daily stroke rounding proforma. Adherence to documentation for the 20 components improved with the introduction of the stroke rounding proforma, with seven components demonstrating statistically significant positive changes in documentation rates, p < .05. Qualitative feedback was collected to aid in the development and acceptability of the proforma. Our study concluded a structured daily stroke rounding proforma can improve adherence to documentation in stroke care. Chiefly, the proforma was of greatest benefit to junior members of the medical team, particularly as an aid memoire.
JOURNAL FOR HEALTHCARE QUALITY
卷号:45|期号:1|页码:10-18
ISSN:1062-2551|收录类别:SCIE
语种
英语
来源机构
University of Brighton; Oxford University Hospitals NHS Foundation Trust; University of Brighton
资助机构
HASU
资助信息
AcknowledgmentsThe authors would like to especially thank all the staff of the HASU.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
0
2013以来使用计数
0
EISSN
1945-1474
出版年
2023-1-2
DOI
10.1097/JHQ.0000000000000364
学科领域
循证公共卫生
关键词
quality improvement stroke ward round proforma structured round checklists
WOS学科分类
Health Care Sciences & Services Health Policy & Services