Improving quality of stroke care through benchmarking center performance: why focusing on outcomes is not enough.
Marzyeh AminiNikki van LeeuwenFrank EijkenaarMaxim J H L MulderWouter SchonewilleGeert Lycklama À NijeholtWouter H HinsenveldRobert-Jan B GoldhoornPieter Jan van DoormaalSjoerd JenniskensJan HazelzetDiederik W J DippelBob RoozenbeekHester F Lingsmanull nullPublished in: BMC health services research (2020)
Between-center variation in outcome of ischemic stroke patients mostly reflects differences in case-mix, rather than differences in structure or process of care. Since the latter two capture the real quality improvement potential, these should be used as indicators for comparing center performance. Especially when a strong association exists between those indicators and outcome, as is the case for time to treatment in ischemic stroke.
Keyphrases
- quality improvement
- atrial fibrillation
- end stage renal disease
- healthcare
- patient safety
- palliative care
- ejection fraction
- newly diagnosed
- chronic kidney disease
- prognostic factors
- type diabetes
- peritoneal dialysis
- metabolic syndrome
- patient reported outcomes
- patient reported
- adipose tissue
- skeletal muscle
- subarachnoid hemorrhage
- chronic pain
- human health
- glycemic control
- brain injury
- replacement therapy