Author: Philip Choi
Choi, Philip, 2024 Acute Ischaemic Stroke Assessment: Overcoming Barriers to Effective Therapies, Flinders University, College of Medicine and Public Health
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Stroke is a leading worldwide cause of death and disability. The effectiveness of acute stroke treatments is time-sensitive, yet despite widespread awareness of this, and despite some quality improvement efforts, key Australian stroke treatment time metrics continue to compare poorly to other advanced health systems. Further, the gap is widening, as stroke reperfusion timeliness has not improved in Australia over the last six years.
Optimising and expediting access to evidence-based stroke treatments in Australia, would have a substantial population impact on post-stroke outcomes. This thesis includes 9 publications from 2016 to 2023, describing the results and learnings of the Box Hill Hospital stroke team quality improvement program (the most time-effective acute stroke team in Australia since 2020.)
Through these processes local stroke service delivery has substantially improved. If widely replicated, these strategies and approaches have the potential to enhance quality acute stroke care across Australian (and other International) stroke centres.
Keywords: stroke, reperfusion, quality improvement
Subject: Rehabilitation thesis
Thesis type: Doctor of Philosophy
Completed: 2024
School: College of Medicine and Public Health
Supervisor: Maria Crotty