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dc.contributor.authorSivertsen, Jorun
dc.contributor.authorGraverholt, Birgitte
dc.contributor.authorEspehaug, Birgitte
dc.identifier.citationSivertsen, Graverholt B, Espehaug B. Dysphagia screening after acute stroke: a quality improvement project using criteria-based clinical audit. BMC Nursing. 2017;16(27)
dc.description.abstractBackground: D ysphagia is common afte r stroke and represents a major risk factor for developing aspiratio n pneum onia. Earl y detection can reduce the risk of pulmonary complications and death. Despite the fact that evide nce-based guidelines reco mmend screening for swallowing deficit using a standardized scr eening tool, n ational audits has identified a gap between practice and this recommendation. The aim was to determine the l evel of adherence to an evid ence-based r ec om mendation on sw al low assessment and to tak e actions to i mprove practice if necessary. M ethods: We carried out a criteria-base d clinical audit (CBCA) in a small stroke unit at a Norwegian hospital. Patients with hemorrhagic stroke, isch emic stroke and transient ischemic attack were included. A power calcu lation informed the number of included patient s at baseline (n = 80) and at r e-audit (n = 35). We compare d the baseline result with the evidenc e-based criteria and gave feedback t o management and st aff. A brainstorming session, a root–cause ana lysis and implementation science were used to in form the quality imp rovement actions which consisted of workshop s, us e of local o pinio n leaders, manual paper reminders and feedback. We completed a re-audit after implementat ion. Percentages and median are reported with 95% confiden ce intervals (CI). Results : Among 88 cases at baseli ne, documentati on of swa llow screening was com plete f or 6% (95% CI 2–11). In the re-audit (n = 51) 61% (95 % CI 45–74) had a complete screening . Conclusion: A CBCA in volvi ng managem ent and staff, an d using multiple tailored in terventi on targeting barriers, led to greater adherence with the recomm endation for screening stro ke patients for dysphagia.
dc.relation.ispartofBMC Nursing
dc.rightsNavngivelse 4.0 Internasjonal
dc.titleDysphagia screening after acute stroke: a quality improvement project using criteria-based clinical audit
dc.typePeer reviewed
dc.typeJournal article

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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal