Key performance indicators for stroke from the Ministry of Health of Brazil: benchmarking and indicator parameters

ABSTRACT

The present study aimed to analyze the stroke units in two centers for the key performance indicators (KPIs) required by the Ministry of Health in Brazil.

Methods

All 16 KPIs were analyzed, including the percentage of patients admitted to the stroke unit, venous thromboembolism prophylaxis in the first 48 hours after admission, pneumonia and hospital mortality due to stroke, and hospital discharge on antithrombotic therapy in patients without cardioembolic mechanism.

Results

Both centers admitted over 80% of the patients in their stroke unit. The incidence of venous thromboembolism prophylaxis was > 85%, that of in-hospital pneumonia was < 13%, the hospital mortality for stroke was < 15%, and the hospital discharge on antithrombotic therapy was > 70%.

Conclusion

Our results suggest using the parameters of all of the 16 KPIs required by the Ministry of Health of Brazil, and the present results for the two stroke units for future benchmarking.

RESUMO

O objetivo do presente estudo é analisar os indicadores de qualidade (IQ) exigidos pelo Ministério da Saúde no Brasil em duas unidades de AVC.

Métodos

Foram analisados os 16 IQ, incluindo a percentagem de pacientes internados na unidade de AVC, profilaxia de tromboembolismo venoso (TEV) nas primeiras 48 horas após a admissão; pneumonia e mortalidade hospitalar e alta hospitalar em terapia antitrombótica (TAT) em pacientes sem mecanismo cardioembólico.

Resultados

Ambos os centros admitiram mais de 80% dos pacientes na unidade de AVC. A profilaxia do TEV foi realizada em mais de 85% dos casos; a pneumonia hospitalar foi inferior a 13%; a mortalidade hospitalar foi menor que 15% e a alta hospitalar em uso de TAT foi acima de 70%.

Conclusão

O presente estudo sugere os parâmetros dos 16 IQ exigidos pelo Ministério da Saúde do Brasil e os resultados obtidos em duas unidades de AVC para avaliação comparativa futura

stroke - quality indicators, health care - delivery healthcare - outcome and process assessment - health care

acidente vascular cerebral - indicadores de qualidade em assistência à saúde - assistência à saúde - avaliação de processos e resultados - cuidado da saúde

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