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Mark Barber Katrina Brennan Martin Dennis, Peter Langhorne Neil Muir Mary-Joan Macleod Pamela Maclean Iain McDermid David Murphy Mr Wesley Stuart With contributions from
Health Boards and partner organisations
Stroke Standard Changes Topic Standard
Access to Stroke Unit 90% within 1 day of admission (Day 0 and 1)
Brain Imaging 95% within 24 hours of admission
Swallow Screen 100% within 4 hours of arrival at hospital
Aspirin Administration 95% of ischaemic strokes within 1 day of admission
Referral to TIA clinic 80% are assessed within 4 days of receipt of referral
Thrombolysis 50% of patients receive the bolus within 30 mins of arrival 80% of patients receive the bolus within one hour of arrival
Carotid Intervention 80% undergoing carotid endarterectomy for symptomatic carotid stenosis have the operation within 14 days of the event that first led them to seek medical assistance.
Changes to Swallow Screening Same day as admission
Within 4 hours Could be 5 minutes from
admission or 23 hours Long potential unsafe period
for patient Most patients admitted
daytime or early evening, so easier to achieve (bad)
Diagnosis may not be immediately clear
May not even have been admitted within 4 hours
Does make patient ‘safe’ reasonably quickly
Challenging (good)
Safety SAP = administration of
antibiotics for a new clinical diagnosis of pneumonia in the first 7 days