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Comparisons between hospitals

Comparisons between hospitals. Many hospitals which are currently collecting data are not included because too few data are available. How can these data help improve patient care?. By identifying methods which increase performance?

solomon-robertson
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Comparisons between hospitals

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  1. Comparisons between hospitals Many hospitals which are currently collecting data are not included because too few data are available.

  2. How can these data help improve patient care? • By identifying methods which increase performance? • By highlighting services requiring more investment or re design

  3. A normal distribution No. Mean = 10 Median = 10 Days

  4. A skewed distribution No. Mean = 7.3 Median = 6 Days

  5. A very skewed distribution No. Mean = 4.9 Median = 3 Days

  6. Inpatients

  7. Dates of Data Collection

  8. No. of Stroke admissions available for analysis

  9. Measures of Access to Stroke Unit • Proportion admitted to any stroke unit • Proportion of in patient stay spent on stroke unit • Delay from admission to entry to stroke unit Could add • Proportion entering stroke unit within 1 day of admission

  10. Proportions admitted to Stroke Unit

  11. Mean Delay in accessing SU

  12. St Johns Hospital • St Johns had only 47% accessing stroke unit • have now obtained funding to increase beds from 11 to 17 • Have employed a staff grade doctor and therapists to help run additional beds

  13. Proportions scanned within 2 days of admission

  14. Length of Stay in HospitalMean Median

  15. Proportion of ischaemic stroke discharged on secondary prevention

  16. Proportions of patients with ischaemic stroke and AF discharged on Warfarin

  17. Royal Infirmary of Edinburgh • Low rates of discharge on secondary prevention • Need to check some notes to see if contraindicated • Need to introduce a secondary prevention protocol and police it

  18. Neurovascular clinics

  19. Dates of Data Collection

  20. No. of Neurovascular Clinic patients available for analysis

  21. Diagnoses in Neurovascular clinic

  22. Median delay from referral to assessment (days)

  23. Delays from Assessment to Duplex (days)

  24. Delays from Assessment to Brain scan for stroke (days)

  25. Delays from Assessment to Echo for stroke/TIA (days)

  26. Delays to investigation • WGH has got Duplex system sorted • DGRI - have got CT scanning sorted • St Johns has got echo system sorted

  27. Treatment of Definite Ischaemic events with aspirin

  28. Treatment of Definite Ischaemic events with dipyridamole

  29. Treatment of Definite Ischaemic events with clopidogrel

  30. Treatment of Neurovascular clinic patients with definite ischaemic events with BP lowering

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