We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Correspondence |

Measuring Stroke Care and Quality in Routine Data Sets

Benjamin Bray, MRCP; Alex Hoffman, MSc; Pippa Tyrrell, MD, FRCP; Anthony Rudd, MD, FRCP
JAMA Neurol. 2013;70(1):130-131. doi:10.1001/2013.jamaneurol.129.
Text Size: A A A
Published online


The study by Palmer et al1 addresses an important question but also highlights the challenges in interpreting routine administrative data sets. The findings concerning thrombolysis rates and brain scanning are not consistent with national audit data. The study reports a thrombolysis rate for acute ischemic stroke of 2.7% compared with 5.8% in the 2010 Sentinel Audit.2 Similarly, 84% of patients in Sentinel received a brain scan within 24 hours and 61% within 12 hours. Therefore, the low rates of thrombolysis and same-day brain scans documented by Palmer et al may relate to the quality of data capture and coding rather than true deficiencies in care. Data to validate the accuracy of the data set used in the study to assess process measures of stroke care quality would be helpful.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Stroke, Hemorrhagic