Doctor Porter and his colleagues used the evidence to devise a local action plan to improve their performance in meeting this standard. Below is the action plan they developed. (See the Improving patient care topic loop below for further information.)
Action Plan
Reporting documents for patients with ischaemic stroke receiving aspirin on the day of admission or day after. (National Standard = 95%)
| 2021 data | Feb 2022 | March 2022 | Barriers | Agreed Actions | Timescale/Lead person |
| 78% | 59% | 57% | Poor recognition/ diagnosis of stroke in the emergency department, and general lack of awareness of the need to administer aspirin to ischaemic stroke patients. | Twice daily visits to A&E/ medical receiving unit to advise on prescribing and administration of aspirin after an acute stroke. | Stroke Senior Charge Nurses – ongoing |
| Lack of understanding by junior medical staff of the need to promptly access CT scan results; to allow prescription and administration of aspirin. | Stroke unit nurses to check aspirin has been prescribed and administered. | Stroke Senior Charge Nurses – ongoing | |||
| Lack of understanding of the need to use aspirin and not alternative antiplatelets in the acute management of ischaemic stroke. | Stroke unit nurses to check aspirin has been prescribed and administered.
Junior doctor training. |
Stroke Senior Charge Nurse – ongoing
Lead stroke clinician – ongoing |
Topic Loop:
Page last reviewed: 10 Aug 2022
