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Ischemic Stroke Quality of Care and Administrative Data

缺血性中风护理质量和管理数据

基本信息

批准号：
7252420
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
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-05-01 至 2010-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7252420
关键词：
Acute Advisory Committees Applications Grants Area Back Blinded Caring Communities County Data Data Collection Data Set Data Sources Death Certificates Diagnosis Elements Enrollment Equilibrium Ethnic Origin Evaluation Fire - disasters Fostering Funding Geography Goals Gold Health Services Hospital Administration Hospitals Individual Inferior Intervention Ischemic Stroke Measures Medical Records Medical center Mentored Clinical Oncology Award Mentored Clinical Scientist Award Mentored Patient-Oriented Research Career Development Award Methods Morbidity - disease rate Neurologist Neurology Numbers Outcome Patients Performance Physician Executives Physicians Pilot Projects Population Population Heterogeneity Process Proxy Publishing Quality of Care Race Reporting Research Research Ethics Committees Review Literature Sampling Scientist Socioeconomic Status Source Standards of Weights and Measures Stroke Structure System Testing Training Triage Validation Washington Work administrative database base cost experience feeding follow-up functional outcomes functional status improved professor

项目摘要

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）：本申请的PI是大卫Tirschwell，医学博士，理学硕士，一位委员会认证的神经学家和华盛顿大学的神经学助理教授，在医生-科学家领域。他是在一个K23奖的最后一年，题为“医生一中风量表”。这项研究招募了1,572名院前诊断为中风的患者。MOSS研究的结果正被西雅图消防部门用于实施中风患者院前分诊和评估的变化。医疗记录已经过审查，需要当地IRB和来自10家西雅图地区急性医院的医生同事的合作。Tirschwell博士还利用行政数据库对华盛顿州中风结局的预测因素进行了研究。K 02将使Tirschwell博士能够将其研究专长扩展到护理质量（QOC）研究和改善领域，重点关注缺血性卒中的护理。通过指导哈博维尤医疗中心卒中中心的工作，先进卫生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卒中质量改进的实践经验，将促进这种进步。在本K 02申请中待检验的总体假设是，急性缺血性卒中患者的QOC可以通过从病历和管理数据源收集的数据进行有效且廉价的评估。这一假设将在不同种族-民族和社会经济地位的人群中进行检验。具体目标是：1）在急性缺血性卒中护理质量研究中使用管理数据和病历数据; 2）确定急性缺血性卒中护理质量的一组指标; 3）创建优化的患者数据集; 4）组织来自华盛顿州金县的基于人群的医院联盟，并进行急性缺血性卒中护理质量的试点研究。该项目前2年产生的结果将作为R 01应用的初步数据，该应用将确定改善华盛顿州缺血性卒中QOC的系统。