Mechanical thrombectomy for large vessel occlusion stroke: improving clinical outcomes and reducing cost

"There have been significant cost-saving benefits to the NHS and social care providers from reduced hospital bed stay and reduced disability. There is no additional burden to the NHS because the majority of patients are admitted directly to the Stroke Unit after the procedure without the need for ITU support." 

Mechanical thrombectomy for large vessel occlusion stroke: improving clinical outcomes and reducing cost (Quality and Productivity case study)
Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust
NICE
March 2016

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Improving documentation within the acute stroke unit

"The results of this project have shown that by introducing a stroke specific clerking document, the quality of information recorded has significantly improved."

Improving documentation within the acute stroke unit: Introducing a stroke specific clerking proforma
S Patel
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u208852.w3847

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Improving sexual health for patients in stroke rehabilitation

"Sexual health contributes greatly to quality of life. Research shows that stroke survivors want to learn and talk about sexual health, but are not given information. In keeping with the Canadian Best Practice Recommendations for Stroke Care, this project aimed to provide all stroke rehabilitation inpatients with the opportunity to discuss sexual health concerns with healthcare providers at West Park Healthcare Centre"

Let's Talk About Sex! - Improving sexual health for patients in stroke rehabilitation
M Guo, S Bosnyak, T Bontempo, A Enns, C Fourie, F Ismail, A Lo
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u207288.w2926

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Cutting delays in reversing anticoagulation after intracerebral haemorrhage

"We have substantially reduced delays in delivering PCC (Prothrombin complex concentrate) to VKA-ICH (vitamin K antagonists) patients at our centre and our simple changes could be easily implemented at centres facing similar barriers."

Cutting delays in reversing anticoagulation after intracerebral haemorrhage: three key changes at a UK comprehensive stroke centre
A Parry-Jones
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u208763.w3521

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The reconfiguration of clinical services

"This paper aims to help those planning and implementing major clinical service reconfigurations ensure that change is as evidence-based as possible. It investigates the five key drivers – quality, workforce, cost, access and technology"

The reconfiguration of clinical services: What is the evidence?
C Imison, L Sonola, M Honeyman, S Ross
The King's Fund
November 2014

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