Ischemic Stroke Quality of Care and Administrative Data

缺血性中风护理质量和管理数据

• 批准号: 6922650
• 负责人: DAVID L TIRSCHWELL
• 金额: $ 16.65万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-05-01 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6922650
• 关键词: acute disease /disorder; cerebral ischemia /hypoxia; clinical research; data collection methodology /evaluation; health administration; health care quality; health care service evaluation; health services research tag; human subject; human therapy evaluation; longitudinal human study; medical records; patient /disease registry; patient oriented research; stroke therapy

DESCRIPTION (provided by applicant): The PI of this application is David Tirschwell, MD, MSc, a board certified neurologist and Assistant Professor of Neurology at the Univ. of Washington in the physician-scientist tract. He is in the final year of a K23 award entitled, "The Medic One Stroke Scale". This study has enrolled 1,572 patients with a prehospital diagnosis of stroke. The results of the MOSS study are being used by the Seattle Fire Department to implement changes in the prehospital triage and evaluation of stroke patients. Medical records have been reviewed, requiring the cooperation of the local IRBs and physician colleagues from 10 Seattle area acute hospitals. Dr. Tirschwell has also conducted research on predictors of stroke outcome in Washington State using administrative databases. The K02 will allow Dr. Tirschwell to expand his research expertise into the area of quality of care (QOC) research and improvement with a focus on the care of ischemic stroke. This shin will be fostered by formal didactic training in advanced health services methods, a QOC advisory committee, formal training in quality improvement methods and practical experience in quality improvement for ischemic stroke by directing such efforts for the Stroke Center at Harborview Medical Center. The overall hypothesis to be tested in this K02 application is that QOC for patients with acute ischemic stroke can be effectively and inexpensively assessed with a balance of data collected from the medical record and administrative data sources. This hypothesis will be tested in a population of diverse race-ethnicity and socioeconomic status. The specific aims are: 1) Validate the use of administrative data and medical record data in quality of care research for acute ischemic stroke; 2) Identify a set of measures of quality of care for acute ischemic stroke; 3) Create an optimized patient dataset; 4) Organize a population-based consortium of hospitals from King County, WA, and perform a pilot study of quality of care for acute ischemic stroke. The results generated from the first 2 years of this project will serve as preliminary data for an R01 application that will determine systems to improve QOC for ischemic stroke in Washington State.

描述(由申请人提供)： 这项申请的PI是David Tirschwell，医学博士，硕士，委员会认证的神经学家和大学神经病学助理教授。位于华盛顿的内科医生-科学家团队。他已经是K23奖项的最后一年了，该奖项名为“医疗兵单卒中量表”。这项研究招募了1572名院前诊断为中风的患者。西雅图消防局正在利用MOSS研究的结果来实施中风患者院前分诊和评估的变化。已经审查了医疗记录，需要当地IRBs和来自西雅图地区10家急诊医院的医生同事的合作。Tirschwell博士还使用行政数据库对华盛顿州中风预后的预测因素进行了研究。K02将使Tirschwell博士能够将他的研究专长扩展到护理质量(QOC)研究和改进领域，重点是缺血性中风的护理。通过指导Harborview医学中心卒中中心的这些工作，将通过高级医疗服务方法的正式教学培训、QOC咨询委员会、质量改进方法的正式培训和缺血性中风的质量改进实践经验来培养这一能力。在这项K02应用中要测试的总体假设是，通过从医疗记录和管理数据来源收集的数据的平衡，可以有效且廉价地评估急性缺血性中风患者的QOC。这一假设将在不同种族、民族和社会经济地位的人群中得到检验。具体目标是：1)验证管理数据和病历数据在急性缺血性中风护理质量研究中的使用；2)确定一套急性缺血性中风护理质量的衡量标准；3)创建优化的患者数据集；4)组织华盛顿州金县的医院联盟，并对急性缺血性中风的护理质量进行试点研究。该项目头两年产生的结果将作为R01应用的初步数据，该应用将确定华盛顿州改善缺血性中风QOC的系统。