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Clinical care standard indicators: acute stroke

Identifying and definitional attributes

Metadata item type:Help on this termIndicator Set
Indicator set type:Help on this termOther
METeOR identifier:Help on this term627634
Registration status:Help on this termHealth, Candidate 14/03/2017
Description:Help on this term

The Australian Commission on Safety and Quality in Health Care has produced the Acute stroke clinical care standard indicators to assist with local implementation of the Acute stroke clinical care standard (ACSQHC 2014). The Acute stroke clinical care standard aims to ensure that patients with acute stroke receive optimal treatment during the acute phase of management. It covers recognition of stroke, rapid assessment, early management, and early initiation of a rehabilitation plan and an individualised care plan. This set of indicators has been developed to assist with local implementation of the Acute stroke clinical care standard.

Relational attributes

Related metadata references:Help on this term

See also Clinical care standard indicators: acute coronary syndromes Health, Standard 12/09/2016

See also Clinical care standard indicators: antimicrobial stewardship Health, Standard 12/09/2016

See also Clinical care standard indicators: delirium Health, Standard 12/09/2016

See also Clinical care standard indicators: heavy menstrual bleeding Health, Standard 17/10/2018, Australian Commission on Safety and Quality in Health Care, Candidate 04/09/2018

See also Clinical care standard indicators: hip fracture Health, Standard 12/09/2016, Australian Commission on Safety and Quality in Health Care, Superseded 18/06/2018

See also Clinical care standard indicators: hip fracture 2018 Australian Commission on Safety and Quality in Health Care, Standard 15/05/2018

See also Clinical care standard indicators: osteoarthritis of the knee Health, Standard 02/08/2017

Outcome areas linked to this Indicator set:Help on this term

Carer training and support Health, Candidate 14/03/2017

Early assessment Health, Candidate 14/03/2017

Early rehabilitation Health, Candidate 14/03/2017

Minimising risk of another stroke Health, Candidate 14/03/2017

Stroke unit care Health, Standardisation pending 04/04/2017

Time-critical therapy Health, Candidate 04/04/2017

Transition from hospital care Health, Candidate 14/03/2017

Indicators linked to this Indicator set:Help on this term

Acute stroke clinical care standard indicators: 1a-Assessment by ambulance services Health, Candidate 14/03/2017

Acute stroke clinical care standard indicators: 1b-Assessment in the emergency department Health, Candidate 14/03/2017

Acute stroke clinical care standard indicators: 2a-Transport to a hospital able to provide thrombolysis Health, Candidate 14/03/2017

Acute stroke clinical care standard indicators: 2b-Thrombolysis in ischaemic stroke Health, Candidate 14/03/2017

Acute stroke clinical care standard indicators: 2c-Presentation and intravenous thrombolysis within 4.5 hours of symptom onset Health, Candidate 14/03/2017

Acute stroke clinical care standard indicators: 2d-Thrombolysis within 60 minutes of hospital arrival Health, Candidate 14/03/2017

Acute stroke clinical care standard indicators: 2e-Time from onset of symptoms to thrombolysis Health, Candidate 14/03/2017

Acute stroke clinical care standard indicators: 3a-Proportion of patients with a final diagnosis of acute stroke who have documented treatment in a stroke unit Health, Candidate 14/03/2017

Acute stroke clinical care standard indicators: 3b-Proportion of stroke patients spending at least 90% of their acute hospital stay in a stroke unit Health, Candidate 14/03/2017

Acute stroke clinical care standard indicators: 4a-Assessment for rehabilitation by a physiotherapist within 24–48 hours of hospital presentation Health, Candidate 04/04/2017

Acute stroke clinical care standard indicators: 4b-Rehabilitation therapy within 48 hours of initial assessment Health, Candidate 14/03/2017

Acute stroke clinical care standard indicators: 5a-Separation on antihypertensive medication for haemorrhagic stroke Health, Candidate 14/03/2017

Acute stroke clinical care standard indicators: 5b-Separation on statin, antihypertensive and antithrombotic medications for ischaemic stroke Health, Candidate 14/03/2017

Acute stroke clinical care standard indicators: 5c-Oral anticoagulants prescribed for atrial fibrillation on separation from hospital Health, Candidate 04/04/2017

Acute stroke clinical care standard indicators: 5d-Risk factor modification advice before separating from hospital Health, Candidate 14/03/2017

Acute stroke clinical care standard indicators: 6a-Carer support needs assessment Health, Candidate 04/04/2017

Acute stroke clinical care standard indicators: 6b-Carer training Health, Candidate 04/04/2017

Acute stroke clinical care standard indicators: 7a-Proportion of stroke patients with a documented care plan prior to hospital separation Health, Candidate 14/03/2017

Collection and usage attributes

National reporting arrangement:Help on this term

The Indicator specification: acute stroke clinical care standard has been developed to assist with local implementation of the Acute stroke care clinical care standard (ACSQHC 2014). Use of the indicators by health services is optional. The indicators can be used to monitor the implementation of the quality statements, and to identify and address areas that require improvement. Monitoring the implementation of the Acute stroke clinical care standard will assist in meeting some of the requirements of the National Safety and Quality Health Service Standards (ACSQHC 2016).

Comments:Help on this term

The Australian Commission on Safety and Quality in Health Care has produced the Acute stroke clinical care standard (ACSQHC 2014) to support the delivery of appropriate care for a defined condition and is based on the best evidence available at the time of development. Health-care professionals are advised to use clinical discretion and consideration of the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian when applying information contained within the clinical care standard. Consumers should use the information in the clinical care standard as a guide to inform discussions with their health-care professional about the applicability of the clinical care standard to their individual condition.

Technical terms used in this indicator set have the following meanings:

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

ACSQHC (Australian Commission on Safety and Quality in Health Care) 2014. Acute stroke clinical care standard. Sydney: ACSQHC

ACSQHC 2016. Accreditation and the NSQHS standards. Viewed 16 February 2016, http://www.safetyandquality.gov.au/our-work/accreditation-and-the-nsqhs-standards/

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