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The feasibility of a national audit of stroke

Penny Irwin (Penny Irwin is Programme Co‐ordinator for Stroke, from the Clinical Effectiveness and Evaluation Unit (CEEU), Royal College of Physicians, London, UK.)
Zoe Rutledge (Zoe Rutledge is Co‐ordinator of the National Sentinel Audit of Stroke, from the Clinical Effectiveness and Evaluation Unit (CEEU), Royal College of Physicians, London, UK.)
Anthony G. Rudd (Anthony G. Rudd is Associate Director for Stroke CEEU, and also Consultant Physician for Stroke, St Thomas’ Hospital, London, UK)

British Journal of Clinical Governance

ISSN: 1466-4100

Article publication date: 1 March 2001

909

Abstract

Reports on an audit of service organizations, clinical care and casemix. The sample included up to 40 consecutive cases of acute stroke (1CD10 161‐164) from each trust, admitted from 1 January to 31 March 1998 and 1 August to 31 October 1999. Feedback consisted of individualized reports showing participants’ own results compared to the national data, and regional multidisciplinary workshops between audit rounds. A total of 197 (81 per cent) trusts (6,894 cases) in England, Wales and Northern Ireland participated in the first round, and 175 (72 per cent) (5,823 cases) in the second. Of the 38 organisational standards, 29 improved between 1998 and 1999 (range 1‐20 per cent, median 5 per cent); 64 of the 71 process standards improved (range 1‐20 per cent, median 8 per cent). Inter‐rater reliability was good with kappa scores of 0.49 to 0.87. National multidisciplinary, cross sector audit is feasible and can promote service improvements. Comparison of participants’ results to national data is a useful way of identifying areas needing change at local level.

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Citation

Irwin, P., Rutledge, Z. and Rudd, A.G. (2001), "The feasibility of a national audit of stroke", British Journal of Clinical Governance, Vol. 6 No. 1, pp. 27-33. https://doi.org/10.1108/14664100110384975

Publisher

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MCB UP Ltd

Copyright © 2001, MCB UP Limited

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