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The International Patient Safety Goals (IPSG) were developed in 2006 by the Joint Commission International (JCI). The goals were adapted from the JCAHO's National Patient Safety Goals. [1] Compliance with IPSG has been monitored in JCI-accredited hospitals since January 2006. [1]
The National Institutes of Health Stroke Scale, or NIH Stroke Scale (NIHSS), is a tool used by healthcare providers to objectively quantify the impairment caused by a stroke and aid planning post-acute care disposition, though was intended to assess differences in interventions in clinical trials. The NIHSS was designed for the National ...
If the person slurs the words, gets some words wrong, or is unable to speak, that could be a sign of a stroke. Normal: Patient uses correct words with no slurring; Abnormal: Slurred or inappropriate words or mute; Patients with 1 of these 3 findings as a new event have a 72% probability of an ischemic stroke. If all 3 findings are present the ...
This page presents a list of certified stroke centers in the United States, by certification level, from highest (comprehensive), to lowest (acute). It provides the state, the hospital name, the city, the county, expiration of certification (if available), date cited, and references:
Even a single stroke risk factor confers excess risk of stroke and mortality, with a positive net clinical benefit for stroke prevention with oral anticoagulation, when compared to no treatment or aspirin. [29] As mentioned above, thromboembolic event rates differ according to various guideline treatment thresholds and methodological approaches ...
With correction for the 4 documentation errors, positive predictive value increased to 97% (95% CI, 84% to 99%)." [3] In a Chinese study, Beijing paramedics using the protocol, completed LAPSS screenings in an average of 4.3±3.0 minutes (median, 5 minutes). The study resulted in a sensitivity of 78.44% and a specificity of 90.22%. [4]
The Joint Commission defines a Primary Stroke Center as follows: "This program is designed for hospitals providing the critical elements to achieve long-term success in improving outcomes for stroke patients." [16] Primary stroke centers have "acute stroke teams" [13] as recommended by the Brain Attack Coalition. The centers should have a ...
Fugl-Meyer Assessment (FMA) scale is an index to assess the sensorimotor impairment in individuals who have had stroke. [1] This scale was first proposed by Axel Fugl-Meyer and his colleagues as a standardized assessment test for post-stroke recovery in their paper titled The post-stroke hemiplegic patient: A method for evaluation of physical performance.