BC Patient Safety & Quality Council

Resources

Summary report for the BC Stroke & TIA Collaborative

The Stroke & TIA Collaborative ran from September 2011 to June 2012, with a pre-work period 5 months prior to the start of the Collaborative. The purpose of the Collaborative was to improve the management of stroke and TIA (Transient Ischemic Attack) patients in the acute stage of the stroke continuum. This Collaborative was launched through the provincial Clinical Care Management initiative (CCM), and executed through the BC Patient Safety & Quality Council (BCPSQC). Furthermore, this work was one of the initiatives of the BC Stroke Strategy, which is administered by Stroke Services BC.

Resources

Swallowing Screen Demonstration for the BC Stroke & TIA Collaborative

  • Canadian Stroke Network
    The Canadian Stroke Network’s mission is to reduce the impact of stroke on Canadians through collaborations that create valuable new knowledge in stroke; to ensure the best knowledge is applied; and to build Canadian capacity in stroke. The website contains numerous useful links to resources for care providers, stroke survivors and their families as well as resources related to evaluation of stroke care.
  • BC Stroke Strategy
    The BC Stroke Strategy website has provincial information and resources for the various initiatives of the BCSS.  It also has links to the various web presentations of the BCSS, which are a helpful educational resource.
  • BC Guidelines and Protocols Advisory Committee’s (GPAC) Stroke and Transient Ischemic Attack – Management and Prevention
    This guideline was developed by B.C. physicians and the Ministry of Health for physicians to aid in management for stroke and TIA patients. The site contains relevant embedded links. Physicians can claim CME credits for visiting this site.
  • Stroke Services BC
    Stroke Services BC is a program of PHSA, and it provides leadership toward evidence-based stroke care in British Columbia. The vision of Stroke Services BC is to work towards fewer strokes, promote and support world-class stroke care, and work towards the best possible outcomes for stroke patients. Stroke Services BC leads several evaluation and improvement initiatives.
  • Accreditation Canada Stroke Services Distinction Program
    This website outlines the best practices and standards that are applied to award centres a designation of ‘Distinction in Stroke Services.’  It is currently a voluntary program.
  • Get With The Guidelines: Stroke
    A U.S. program that has shown significant and sustained improvement in stroke care.  This extremely useful website has links to numerous resources for care providers, administrators, evaluators and patients and their families.
  • NHS Stroke
    The  stroke awareness and improvement program in the U.K. has a significant track record. The website contains significant links to various resources.
  • Heart and Stroke Foundation of Canada
    Focused on advocacy, the promotion of healthy living and research, the Heart and Stroke Foundation of Canada plays a partnership role in many stroke improvement initiatives.  The website contains provincial and national links and some general information about stroke in Canada.

Best Practice Publications

  1. Acker JE 3rd, Pancioli AM, Crocco TJ, et al. Implementation strategies for emergency medical services within stroke systems of care: a policy statement from the American Heart Association/American Stroke Association Expert Panel on Emergency Medical Services Systems and the Stroke Council. Stroke . 2007 Nov;38(11):3097-115.
  2. Adams HP Jr, del Zoppo G, Alberts MJ, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke. 2007 May;38(5):1655-711.
  3. Schwamm LH, Pancioli A, Acker JE, et al. Recommendations for the establishment of stroke systems of care: recommendations from the American Stroke Association’s Task Force on the Development of Stroke Systems. Circulation. Mar 1 2005;111(8):1078-91.
  4. Easton JD, Saver JL, Albers GW, et al. Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; and the Interdisciplinary Council on Peripheral Vascular Disease. The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists. Stroke. Jun 2009;40(6):2276-93.
  5. Sacco RL, Adams R, Albers G, et al. Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack: a statement for healthcare professionals from the American Heart Association/American Stroke Association Council on Stroke: co-sponsored by the Council on Cardiovascular Radiology and Intervention: the American Academy of Neurology affirms the value of this guideline. Stroke. Feb 2006;37(2):577-617.
  6. 2011 Writing Group Members, Wann LS, Curtis AB, et al. 2011 ACCF/AHA/HRS focused update on the management of patients with atrial fibrillation (updating the 2006 guideline): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2011 Jan 4;123(1):104-23.

At a Glance

Key Contact:

Devin Harris
Clinical Lead
BCPSQC
dharris@bcpsqc.ca