A cluster-randomized trial to improve stroke care in hospitals.

ABSTRACT:

Objective

We evaluated the effect of performance feedback on acute ischemic stroke care quality in Minnesota hospitals.

Methods

A cluster-randomized controlled trial design with hospital as the unit of randomization was used. Care quality was defined as adherence to 10 performance measures grouped into acute, in-hospital, and discharge care. Following preintervention data collection, all hospitals received a report on baseline care quality. Additionally, in experimental hospitals, clinical opinion leaders delivered customized feedback to care providers and study personnel worked with hospital administrators to implement changes targeting identified barriers to stroke care. Multilevel models examined experimental vs control, preintervention and postintervention performance ch

SUBMITTER: Lakshminarayan K 

PROVIDER: S-EPMC2875128 | biostudies-literature | 2010 May

REPOSITORIES: biostudies-literature