Sentinel Stroke National Audit Programme Clinical results 23/24

The clinical component of SSNAP prospectively collects a minimum dataset for every stroke patient since December 2012 to measure processes of acute care, rehabilitation and care in the community. SSNAP also collects outcome measures at 6 months. The aim is to improve the quality of stroke care by auditing stroke services against evidence based standards. The latest SSNAP periodic report presents national and named team results for the entire inpatient stroke care pathway. It is based on patients admitted or discharged from hospital in the most recent 3-monthly time period. This report contains results for important measures of inpatient stroke care including stroke unit care, thrombolysis, therapy assessments and intensity, timings of interventions, and discharge standards. It also provides comparisons where appropriate against the previous 4 periodic reports to show changes over time. A SSNAP scoring system has been derived to enable hospitals to compare their performance against other hospitals and benchmark against the national result. This summary of performance is based upon results for 44 key indicators which are grouped into 10 domains covering key aspects of stroke care. An overall score is calculated from domain scores adjusted for case ascertainment and audit compliance. Please see technical guidance for details about how the SSNAP scores are calculated. Extremely high standards have been set with the aim of stimulating hospitals to identify where improvements are needed and drive change. Nowhere else in the world has set as stringent standards and the results should be read in this context. SSNAP Summary Results: This excel file contains summary information by named team for 44 key indicators within 10 domains of care in addition to measures of overall performance based on the SSNAP scoring system. Full Results Portfolio: This is a very detailed file containing results for every stroke measure collected by SSNAP. It is intended as a reference document for those who wish to drill-down in more detail than the summary results.SSNAP临床模块自2012年12月起，前瞻性采集每一例脑卒中患者的最小数据集，用于评估急性救治、康复及社区照护的全流程。该项目同时采集患者发病6个月时的转归指标，其宗旨是通过对照循证标准开展卒中服务审计，进而提升卒中照护质量。 最新一期SSNAP定期报告展示了全住院卒中照护路径的全国层面及指定团队层面的结果，数据基于近3个月时段内入院或出院的患者。 本报告涵盖了住院卒中照护的多项重要指标结果，包括卒中单元照护、溶栓治疗、治疗评估与强度、干预时机及出院标准；在适宜情况下，还会与此前4期定期报告进行对比，以展示随时间推移的变化趋势。 研究人员已开发出SSNAP评分体系，可帮助各医院对比自身与其他医院的表现，并以全国结果为基准开展对标。该绩效总结基于44项关键指标的结果，这些指标被划分为10个领域，覆盖卒中照护的核心维度。总体评分由经病例确认率与审计合规性调整后的领域评分计算得出，有关SSNAP评分的具体计算方式，请参阅技术指南。 本次报告设定了极高的标准，旨在激励各医院明确需改进的环节并推动变革。目前全球范围内尚无其他机构设定如此严苛的标准，解读结果时需结合这一背景。 SSNAP汇总结果：本Excel文件包含按指定团队划分的10个照护领域下44项关键指标的汇总信息，以及基于SSNAP评分体系的整体绩效指标。 完整结果集：本文件为极详尽的数据集，涵盖SSNAP采集的所有卒中相关指标结果，可供希望获取比汇总结果更深入细节的用户作为参考文档。