Abstract 2477: Moving Toward 100% Stroke Patient Education Compliance
Background: Evidence has shown that if patients are provided with basic stroke education (i.e. stroke risk factors, warning signs, emergency actions, follow-up considerations, general medication information), they have improved self-care. Provision of stroke education is a performance measure for Joint Commission Certified-Primary Stroke Centers (JC-PSC). In our 2 hospital system, variation in provision of education, effectiveness of materials provided, and documentation of teaching was found.
Purpose: The purpose of this initiative was to identify barriers to providing optimal stroke education and implement strategies for improvement.
Method: Current educational delivery methods/materials were clarified with input from multi-disciplinary team members and past/current patients and families. Compliance with provision of this patient education measure was tracked. Barriers to optimal compliance and educational delivery identified included inconsistent patient education provision and documentation methods, handouts of poor visual quality that weren’t helpful for people with visual problems, varying content for discharge instructions, and lack of real time assessment of measure compliance. Improvement strategies implemented included stroke program CNS or RN seeing all known stroke/TIA inpatients, creation of a spiral bound stroke educational booklet and an audio CD version, development of a stroke education teaching screen in the electronic health record, and revision of an individualizable Stoke/TIA Patient Discharge Instruction template that included required content.
Results: Strategies for improvement took time and involved significant staff education; however improvement in stroke education measure compliance was noted at both of our hospitals during the first year. In the second year of this initiative, continued efforts resulted in 100% compliance with the measure for most months.
Conclusions: Having the stroke program CNS or RN see the stroke/TIA inpatients improved not only consistency of care delivery but also afforded the opportunity to do ongoing education for staff. Creation of consistent educational materials that could meet individual patient/family needs along with creation of user-friendly documentation methods increased our ability to successfully meet the needs of our patients and show we had excellent stroke education delivery outcomes.
- © 2012 by American Heart Association, Inc.