CourseDraft

Stroke systems, registries + QI (Intermediate clinician)

Intermediate systems course for stroke coordinators and improvement teams: telestroke/prehospital routing, registry basics, audit-and-feedback loops, and ICH performance measures as an example bundle.

ClinicianClinicianIntermediate100 minClinical (pro)

Educational only

Educational only — measure definitions and reporting vary by institution/region.

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In suspected stroke, system improvements must never delay emergency evaluation or time-critical interventions.

Key takeaways

  • Explain why systems and workflow drive stroke outcomes
  • Design a basic audit-and-feedback loop using registry data
  • Identify common workflow bottlenecks and interventions
  • Apply performance measures concepts to a concrete hemorrhage example

Lesson sequence

  • 1. Telestroke + prehospital systems (triage, routing, equity)
  • 2. Systems of care + QI basics (metrics + audit loops)
  • 3. Stroke coordinator certification track (registries + QI)
  • 4. ICH performance + quality measures (QI implementation example)

Capstone

  • Pick one metric, map the workflow, run a PDSA cycle, and define a feedback cadence

Practice check

What you’ll practice

These questions are untimed. After you answer all of them, you’ll see your score and a clear next lesson or reference step.

0 of 3 answered

Question 1

1. Audit-and-feedback is commonly used to improve compliance with evidence-based bundles.

Question 2

2. A stroke registry is primarily used to…

Question 3

3. A practical first step in a QI project is to…

References

  1. Tier 1
    WSO Roadmap / global stroke services guideline resources
  2. Tier 1
    AHA Scientific Statement: Nursing care update (systems/QI concepts)
  3. Tier 1
    AHA/ASA performance & quality measures for spontaneous ICH (2024)