Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases
Effect of a Multifaceted Quality Improvement Intervention on Hospital Personnel Adherence to Performance Measures in Patients With Acute Ischemic Stroke in China: A Randomized Clinical Trial
First author：Yilong Wang,Zixiao Li
Corresponding author：Yongjun Wang
essential_information
- Person in charge：Yilong Wang,Zixiao Li
- Data Sources： Golden Bridge
- Number of papers：OTHERS20190168
- Published time：2018-07-17
2018-07-17
Published articles
Journal：JAMA
Publication type: Clinical and Research Innovations
IF(IF): 47.661
PMID: 29959443 Link To Pubmed Full text Download
Background And Purpose
To determine whether a multifaceted quality improvement intervention can improve hospital personnel adherence to evidence-based performance measures in patients with acute ischemic stroke (AIS) in China.
Method
Twenty hospitals received a multifaceted quality improvement intervention (intervention group; 2400 patients), including a clinical pathway, care protocols, quality coordinator oversight, and performance measure monitoring and feedback. Twenty hospitals participated in the stroke registry with usual care (control group; 2400 patients).
Conclusion
Among 40 hospitals in China,amultifaceted qualityimprovement intervention compared with usual care resulted in a statistically significant but small improvement in hospital personnel adherence to evidence-based performance measures in patients with acute ischemic stroke when assessed as a composite measure, but not as an all-or-none measure. Further research is needed to understand the generalizability of these findings.
Main results
Among 4800 patients with AIS enrolled from40hospitals and randomized, 3980patients (82.9%) completed the 12-month follow-up of the trial. Patients in intervention groupwere more likely to receive performance measures than those in the control groups. Theall-or-nonemeasuredidnotsignificantly differ between the intervention and control groups. Newclinical vascular eventswere significantly reduced in the intervention group compared with the control group at 3 months, 6 months and 12 months.