The effect of a national quality improvement collaborative on prehospital care for acute myocardial infarction and stroke in England.

ABSTRACT:

Background

Previous studies have shown wide variations in prehospital ambulance care for acute myocardial infarction (AMI) and stroke. We aimed to evaluate the effectiveness of implementing a Quality Improvement Collaborative (QIC) for improving ambulance care for AMI and stroke.

Methods

We used an interrupted time series design to investigate the effect of a national QIC on change in delivery of care bundles for AMI (aspirin, glyceryl trinitrate [GTN], pain assessment and analgesia) and stroke (face-arm-speech test, blood pressure and blood glucose recording) in all English ambulance services between January 2010 and February 2012. Key strategies for change included local quality improvement (QI) teams in each ambulance service supported by a national coordinating expert gr

SUBMITTER: Siriwardena AN 

PROVIDER: S-EPMC3904412 | biostudies-literature | 2014 Jan

REPOSITORIES: biostudies-literature