RESQ

https://qualityregistry.eu/

The primary goal of RES-Q is to improve the quality of stroke care in central and eastern Europe by providing data that can be translated into healthcare policies and guidelines on both a national and European level. As a European Stroke Organisation (ESO) driven initiative, RES-Q is a pan-European, collaborative effort on the part stroke treatment centres, clinicians, and researchers to rapidly improve the level of stroke care throughout all participating countries.

The major challenge of stroke management is not finding new and better treatments, but improving the implementation of those treatments that already exist. Because of these gaps, more research into implementation is needed to improve outcomes for more stroke patients across Europe. Implementing these improvements does not necessarily require additional resources, but it does require better utilization of existing ones. RES-Q is designed to act as a tool for:

• 1) Monitoring the stroke care pathway
• 2) Recognizing the crucial challenges that each hospital and country faces
• 3) Highlighting areas of high need and informing the development of plans to address those needs
• 4) Monitoring the implementation of those changes and the subsequent improvements in stoke care

The performance measures that allow for standardized comparison of stroke care quality were published in Stroke 2015 (Bo Norrving et al). These performance measures include areas covering: coordination of care (stroke unit–based care), diagnosis (brain imaging, vascular imaging, cardiac arrhythmia detection, and therapy assessment), preservation of neural tissue (thrombolytic therapy and door-to-needle time), prevention of complications (dysphagia screening), initiation of secondary prevention (antiplatelet, anticoagulation, lipid lowering, blood pressure lowering, carotid surgery, time from vascular imaging to carotid surgery, and smoking cessation), survival (90-day post-stroke mortality), and functional outcomes (90-day modified Rankin Scale).