Development of a national stroke audit in Ireland: scoping review protocol [version 1; peer review: 2 approved]

Introduction Recent advances in stroke management and care have resulted in improved survival and outcomes. However, providing equitable access to acute care, rehabilitation and longer-term stroke care is challenging. Recent Irish evidence indicates variation in stroke outcomes across hospitals, and...

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Main Authors: Anne Hickey, Frances Horgan, Carlos Bruen, Eithne Sexton, Paul J. Murphy, Niamh A. Merriman, Joseph Harbison, Joan McCormack, Peter J. Kelly, David Williams, Máirín Ní Bhreacáin, Rónán Collins, Collette Tully, John Thornton, Elaine Byrne
Format: Article
Language:English
Published: F1000 Research Ltd 2021-03-01
Series:HRB Open Research
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Online Access:https://hrbopenresearch.org/articles/4-31/v1
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author Anne Hickey
Frances Horgan
Carlos Bruen
Eithne Sexton
Paul J. Murphy
Niamh A. Merriman
Joseph Harbison
Joan McCormack
Peter J. Kelly
David Williams
Máirín Ní Bhreacáin
Rónán Collins
Collette Tully
John Thornton
Elaine Byrne
author_facet Anne Hickey
Frances Horgan
Carlos Bruen
Eithne Sexton
Paul J. Murphy
Niamh A. Merriman
Joseph Harbison
Joan McCormack
Peter J. Kelly
David Williams
Máirín Ní Bhreacáin
Rónán Collins
Collette Tully
John Thornton
Elaine Byrne
author_sort Anne Hickey
collection DOAJ
description Introduction Recent advances in stroke management and care have resulted in improved survival and outcomes. However, providing equitable access to acute care, rehabilitation and longer-term stroke care is challenging. Recent Irish evidence indicates variation in stroke outcomes across hospitals, and a need for continuous audit of stroke care to support quality improvement. The aim of this project is to develop a core minimum dataset for use in the new Irish National Audit of Stroke (INAS), which aims to improve the standard of stroke care in Ireland. This paper outlines the protocol for conducting a scoping review of international practice and guidelines in auditing acute and non-acute stroke care. Objective Identify data items that are currently collected by stroke audits internationally, and identify audit guidelines that exist for recommending inclusion of content in stroke audit datasets. Methods and analysis This scoping review will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews (PRISMA-ScR). We will search the following databases: Medline Ovid; Embase; CINAHL EBSCOHost. Grey literature will also be searched for relevant materials, as will relevant websites. Study selection and review will be carried out independently by two researchers, with discrepancies resolved by a third. Data charting and synthesis will involve sub-dividing relevant sources of evidence, and synthesising data into three categories: i) acute stroke care; ii) non-acute stroke care; and iii) audit data collection procedures and resourcing. Data will be charted using a standardised form specific to each category. Consultation with knowledge users will be conducted at all stages of the scoping review. Discussion This scoping review will contribute to a larger project aimed at developing an internationally benchmarked stroke audit tool that will be used prospectively to collect data on all stroke admissions in Ireland, encompassing both acute and non-acute data items.
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spelling doaj.art-b3351227a64444deb4e9eae3b44de04a2022-12-22T04:00:35ZengF1000 Research LtdHRB Open Research2515-48262021-03-01414407Development of a national stroke audit in Ireland: scoping review protocol [version 1; peer review: 2 approved]Anne Hickey0https://orcid.org/0000-0003-0008-3195Frances Horgan1https://orcid.org/0000-0002-8773-9953Carlos Bruen2https://orcid.org/0000-0002-3637-0973Eithne Sexton3https://orcid.org/0000-0002-5564-7771Paul J. Murphy4https://orcid.org/0000-0001-5056-1971Niamh A. Merriman5https://orcid.org/0000-0002-5327-7762Joseph Harbison6Joan McCormack7Peter J. Kelly8David Williams9https://orcid.org/0000-0002-1923-462XMáirín Ní Bhreacáin10Rónán Collins11Collette Tully12John Thornton13Elaine Byrne14https://orcid.org/0000-0001-7322-277XDept of Health Psychology, Royal College of Surgeons in Ireland, Dublin, IrelandSchool of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, IrelandDept of Health Psychology, Royal College of Surgeons in Ireland, Dublin, IrelandDept of Health Psychology, Royal College of Surgeons in Ireland, Dublin, IrelandLibrary Services, Royal College of Surgeons in Ireland, Dublin, IrelandDept of Health Psychology, Royal College of Surgeons in Ireland, Dublin, IrelandNational Office of Clinical Audit, Dublin, IrelandNational Office of Clinical Audit, Dublin, IrelandDept of Neurology, Mater Misericordiae University Hospital, Dublin, IrelandDept of Geriatric and Stroke Medicine, Beaumont Hospital, Dublin, IrelandPatient Representative, Dublin, IrelandDept of Geriatric and Stroke Medicine, Tallaght University Hospital, Dublin, IrelandNational Office of Clinical Audit, Dublin, IrelandDept. of Radiology, Beaumont Hospital, Dublin, IrelandInstitute of Leadership, Royal College of Surgeons in Ireland, Dublin, IrelandIntroduction Recent advances in stroke management and care have resulted in improved survival and outcomes. However, providing equitable access to acute care, rehabilitation and longer-term stroke care is challenging. Recent Irish evidence indicates variation in stroke outcomes across hospitals, and a need for continuous audit of stroke care to support quality improvement. The aim of this project is to develop a core minimum dataset for use in the new Irish National Audit of Stroke (INAS), which aims to improve the standard of stroke care in Ireland. This paper outlines the protocol for conducting a scoping review of international practice and guidelines in auditing acute and non-acute stroke care. Objective Identify data items that are currently collected by stroke audits internationally, and identify audit guidelines that exist for recommending inclusion of content in stroke audit datasets. Methods and analysis This scoping review will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews (PRISMA-ScR). We will search the following databases: Medline Ovid; Embase; CINAHL EBSCOHost. Grey literature will also be searched for relevant materials, as will relevant websites. Study selection and review will be carried out independently by two researchers, with discrepancies resolved by a third. Data charting and synthesis will involve sub-dividing relevant sources of evidence, and synthesising data into three categories: i) acute stroke care; ii) non-acute stroke care; and iii) audit data collection procedures and resourcing. Data will be charted using a standardised form specific to each category. Consultation with knowledge users will be conducted at all stages of the scoping review. Discussion This scoping review will contribute to a larger project aimed at developing an internationally benchmarked stroke audit tool that will be used prospectively to collect data on all stroke admissions in Ireland, encompassing both acute and non-acute data items.https://hrbopenresearch.org/articles/4-31/v1Stroke audit registries quality of care outcome assessment quality improvementeng
spellingShingle Anne Hickey
Frances Horgan
Carlos Bruen
Eithne Sexton
Paul J. Murphy
Niamh A. Merriman
Joseph Harbison
Joan McCormack
Peter J. Kelly
David Williams
Máirín Ní Bhreacáin
Rónán Collins
Collette Tully
John Thornton
Elaine Byrne
Development of a national stroke audit in Ireland: scoping review protocol [version 1; peer review: 2 approved]
HRB Open Research
Stroke
audit
registries
quality of care
outcome assessment
quality improvement
eng
title Development of a national stroke audit in Ireland: scoping review protocol [version 1; peer review: 2 approved]
title_full Development of a national stroke audit in Ireland: scoping review protocol [version 1; peer review: 2 approved]
title_fullStr Development of a national stroke audit in Ireland: scoping review protocol [version 1; peer review: 2 approved]
title_full_unstemmed Development of a national stroke audit in Ireland: scoping review protocol [version 1; peer review: 2 approved]
title_short Development of a national stroke audit in Ireland: scoping review protocol [version 1; peer review: 2 approved]
title_sort development of a national stroke audit in ireland scoping review protocol version 1 peer review 2 approved
topic Stroke
audit
registries
quality of care
outcome assessment
quality improvement
eng
url https://hrbopenresearch.org/articles/4-31/v1
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