Clinical and organizational quality indicators for the optimal management of stroke in adults: Scoping review protocol

Abstract

ABSTRACT Introduction Clinical and organizational indicators have been developed to measure current stroke practices in different organizations. Although there is a broad range of indicators regarding the acute stroke phase, there is no synthesis of these indicators during this phase, and information is missing on how they have been tested, validated and integrated within organizations and clinical practice. The present article describes a scoping review protocol to identify clinical and organizational indicators conducive to the optimal management of acute ischemic stroke in adults. Method and analysis Our scoping review will be based on the methodological framework developed by Arskey and O’Malley (2005). Medline, CINHAL, Academic search complete and Cochrane Library databases will be used along with Google Scholar and Google to identify writings that meet the inclusion criteria. All scientific studies and grey litterature conducted and published since 2015, in French and English, dealing with clinical and organizational indicators for the management and optimal care of adults with acute ischemic stroke will be retained. Indicators will be classified based on the dimensions of care performance. Next, an advisory committee composed of clinical and scientific experts together with the partner patient will draw up a final list of indicators using the Delphi process. We expect this scoping review to identify the best clinical and organizational indicators for optimal acute stroke management, thus allowing for improved supervision of quality of care. Ethics and dissemination No ethical approval is required. Dissemination of the results will be made through scientific publications, poster and oral presentations

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