Computer Scan Based Analysing System on Improving Stroke Management Quality Evaluation (CASE)

Zhejiang University

Status: Enrolling

Conditions: Acute Ischemic Stroke and Transient Ischemic Attacks

Treatments: Behavioral: the response of KPI and corresponding suggestion

Study type: Interventional

Funder types: Other

Identifiers

NCT03684629

CASE

Details and patient eligibility

About

Study is designed for two parts, a perspective, multi-center, historial control study and a randomized controlled study of acute ischemic stroke patients. For achieving the target of diagnosis and treatment KPI (Key performance indicator) of AIS patients and improving the defects of the traditional working mode, our center developed the medical records data acquisition and KPI statistics system based on computer scan. This method guarantees the authenticity of the data, It computes the KPI of the corresponding medical institutions in the corresponding period and gives feedback on a regular basis. Based on the KPI feedback system, a multifaceted quality improvement intervention is conducted in the intervention group hospitals. This study aims to explore whether this new working mode can continuously improve the overall KPI in Zhejiang province, and thus reflect the improvement of quality and standardization of medical service in AIS patients.

Full description

Study population:patients with acute ischemic stroke who were admitted to the hospital within 7 days after the initial symptom onset.

Program:

There are multifaceted quality improvement interventions including:

1. Implementation of standardized templates of medical record, evidence-based clinical pathway, and written care protocols.
2. Feedback system of performance measures.
3. Expert online consultation.

Endpoints:

Primary outcome:increase of diagnosis and treatment key performance indicator for acute ischemic stroke patients; Secondary outcome: the occurrence of ischemic stroke, total mortality, disability, and new clinical vascular events.

Enrollment: 16,570 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• acute ischemic stroke or transient ischemic attacks patients

Exclusion criteria

• patients who losing his medical record of having the incomplete medical record

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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16,570 participants in 2 patient groups

the response of KPI and corresponding suggestion

Experimental group

Description:

The hospitals will receive their own monthly KPI and the monthly highest KPI of all hospitals included in the study. Based on the compare of the monthly KPI of all hospitals, Quality control platform will give corresponding suggestions to all hospitals for the improve of next month. The multifaceted quality improvement interventions include: 1) implementation of standardized templates of medical record, evidence-based clinical pathway, and written care protocols; 2) feedback system of performance measures; 3) expert online consultation.

Treatment:

Behavioral: the response of KPI and corresponding suggestion

a control arm

No Intervention group

Description:

The control group indicated that the hospitals will not be provided with the multifaceted quality improvement interventions. They just provide patients with routine care.