国家神经系统疾病临床医学研究中心数据管理与共享系统
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
通讯作者：Yongjun Wang
基本信息
- 负责人：Yilong Wang,Zixiao Li
- 数据来源： Golden Bridge
- 论文编号：OTHERS20190168
- 发表时间：2018-07-17
2018-07-17
已发表文章
主要研究背景及目的
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.
方法
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).
结论
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.
主要结果
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.