Decline in the risk of carotid occlusion with more intensive medical therapy. Decline in the risk of carotid occlusion with more intensive medical therapy.

Slides:



Advertisements
Similar presentations
Graph comparing baseline data with data collected following PDSA cycle 1 (initial introduction of the checklist). PDSA, plan do study act; IV, intravenous.
Advertisements

Percentage of patients attending for GP steroid review following steroid letter. GP, general practitioner; LTOC, long-term oral corticosteroids. Percentage.
Summary of project team improvement efforts
Flow diversion concept: placement of a high-mesh density stent (flow diverter) in the parent vessel disrupts blood flow into the aneurysm (A and B), allowing.
WEB treatment of MCA bifurcation aneurysms.
Flow diversion treatment of a large left cavernous aneurysm with complete occlusion of the aneurysm demonstrated at 6-month follow-up angiogram. Flow diversion.
Effect of interventions on % appointments not attended
Run chart showing outcomes of interventions expressed as percentage of cases with active implantable cardioverter defibrillator (ICD) in situ postmortem. PDSA, Plan-Do-Study-Act.
Run chart for measure 2 (adjusted timely morning discharge which is the percentage of patients who left by noon out of those eligible for morning discharge.
The poster displayed across the wards and on our Trust intranet
The guidelines for reversing warfarin and NOAC coagulopathies in patients with symptomatic ICH. ICH, intracerebral haemorrhage. The guidelines for reversing.
Percentage of newborns admitted to neonatal intensive care unit with axillary temperature over 36.5°C on arrival (July 2016–April 2017). Percentage of.
Percentage of newborns admitted to neonatal intensive care unit with axillary temperature below 36°C on arrival (July 2016–April 2017). Percentage of newborns.
Long-term appearances of lacunar infarcts (arrows: old stroke lesion on the follow-up scans). Long-term appearances of lacunar infarcts (arrows: old stroke.
Adult mechanical ventilation weaning protocol at St
Detection of microemboli by transcranial Doppler identifies high-risk asymptomatic carotid stenosis. Detection of microemboli by transcranial Doppler identifies.
Mortality from CHD and stroke in women and men, by country and year.
Microemboli during deployment of a carotid stent.
Ratio of relative risks of heart disease and stroke associated with higher blood pressure, smoking, type I and II diabetes, and higher cholesterol in women.
A(i) Percentage of total HIV positive people receiving diagnosis for 32 countries with full cascades. A(i) Percentage of total HIV positive people receiving.
Effects of statins (hydroxymethylglutarate (HMG) coenzyme A reductase inhibitors) on synthesis of ubiquinone (coenzyme Q10, CoQ10). Effects of statins.
Flow chart for the DCL trial.
(A) Indicator 2: total surgeon, anaesthesiologist and obstetrician workforce density per 100 000 people, by state in the year (A) Indicator 2: total.
The guidelines for reversing warfarin and NOAC coagulopathies in patients with symptomatic ICH. ICH, intracerebral haemorrhage. The guidelines for reversing.
Process map of antenatal care visit in Haiti.
Deaths from non-communicable diseases among women in 2012, by cause, World Bank income category, and WHO region. Deaths from non-communicable diseases.
Figure 4. Run chart for medication dosage as per national asthma care guideline. Figure 4. Run chart for medication dosage as per national asthma care.
Schematic representation of referral process (1a) and suggested areas to improve the referral process of the Emergency clinic (1b). Schematic representation.
Age-specific mortality rates from CHD and stroke in women and men in 2010 in selected countries. Age-specific mortality rates from CHD and stroke in women.
Results: P-Chart of All GIM patients receiving unnecessary testing during intervention period, August 2014-March Results: P-Chart of All GIM patients.
A statistical process control chart illustrating the handover scores observed for each handover before and after implementation of the standardised handover.
Center 1 Time (min) to Antibiotic Administration SPC Chart.
Chart showing project sustainability over 34 months with a steady increase in number of points correctly documented. Chart showing project sustainability.
Annotated sample ‘Competency Dictionary’ entry.
Flow diversion concept: placement of a high-mesh density stent (flow diverter) in the parent vessel disrupts blood flow into the aneurysm (A and B), allowing.
(A) Target 1 vs Target 2 - % of those diagnosed vs % of those diagnosed receiving ART. (B) Target 2 vs Target 3 - % of those diagnosed on ART vs % of those.
Ishikawa diagram showing the main contributory factors to the number of unacknowledged results including medical record office-related, software-related.
Dana Dykes et al. BMJ Qual Improv Report 2016;5:u w3675
Effects of statins (hydroxymethylglutarate (HMG) coenzyme A reductase inhibitors) on synthesis of ubiquinone (coenzyme Q10, CoQ10). Effects of statins.
Run chart of monthly median time for administration of pain medication for ED patients diagnosed with long bone fractures. Run chart of monthly median.
Percentage of patients who had their pre-evening capillary blood glucose monitored at least once during their steroid therapy. Percentage of patients who.
Frequency of usage and topics of interest among GHD UTD users.
Existing workflow process—consent taking to operation theatre—three consent checks on D −1 and D0 of surgery (Plan-Do-Study-Act (PDSA) cycle 2 reflected.
Figure 3. Run chart for use of standardized instrument to assess level of control. Figure 3. Run chart for use of standardized instrument to assess level.
The frequency of documented pneumonia and risk of pneumonia by stroke severity on screening. The frequency of documented pneumonia and risk of pneumonia.
Center 2 Time (min) to Antibiotic Administration Baseline to Final Analysis. Center 2 Time (min) to Antibiotic Administration Baseline to Final Analysis.
Patient satisfaction comparing patients receiving primary care from clinics with scribes versus patients receiving primary care from clinics without scribes.
Improved monitoring of diabetic parameters outcome data
Change in healthcare workers’ knowledge after checklist implementation
Microemboli during deployment of a carotid stent.
The percentage of patients in the baseline audit that had each measure of the antipsychotic monitoring over the previous 12 months. The percentage of patients.
Variation in the completeness of reporting between EWARS and EWARN from week 43, 2014 through week 44, Variation in the completeness of reporting.
Percentage of patients with oxygen prescriptions and documented target saturations at subsequent PDSA cycles. Percentage of patients with oxygen prescriptions.
PDSA cycle 3 breakdown into intervention and non-intervention groups.
Statistical Process Chart (SPC) comparing monthly and mean contaminated BC rate for the pre-study period compared with the study period. Statistical Process.
Mean number of problems across the PPE-15 domains for each month of the program (pooled data across all 15 PPE-15 domains). Mean number of problems across.
Driver diagram outlining the changes implemented during the initiative
Intraventricular injection of haemoglobin caused ventricular dilation.
Age-standardised rate (ASR) of smoking among men aged 15 to 69 years by product, and by two levels of education: 1998–2010. Age-standardised rate (ASR)
CT perfusion volumetric measurements shown for dichotomous stratifications of lesion core volume, hypoperfused volume, and mismatch volume with box plot.
Lipocalin 2 (LCN2) protein was markedly upregulated in the brain 24 h after intraventricular haemoglobin injection compared with saline controls. Lipocalin.
A fishbone diagram summarising factors contributing to urology inpatients not having a 24-hour Electronic Patient Records venous thromboembolism (EPR VTE)
Relationship between gross national income and number of medicines that are included both in the WHO and national Model Lists of Essential Medicines (EMLs)
Elevated blood glucose vs time.
Immunoreactivity for the lipocalin 2 (LCN2) receptor (SLC22A17), glial fibrillary acidic protein (GFAP), Iba-1 and neuronal nuclei (NeuN) 24 h after intraventricular.
Histogram of number of colony forming units (CFUs) after 24 hours of incubation between group 1 and group 2. Histogram of number of colony forming units.
Patient number 20 with a left internal carotid artery dissection.
Example of 3D MERGE vessel wall imaging with large longitudinal coverage. Example of 3D MERGE vessel wall imaging with large longitudinal coverage. The.
Ventricular volumes were measured before and after (24 h) the injection of haemoglobin (25 mg/mL) or saline into wild-type (WT) and in lipocalin 2-deficient.
Line chart of monthly antibiotic usage rate (AUR) (overall and that in infants with negative blood culture) in relation to the frequency of blood culture-positive.
Presentation transcript:

Decline in the risk of carotid occlusion with more intensive medical therapy. Decline in the risk of carotid occlusion with more intensive medical therapy. Among 3681 patients in the database, the percentage of patients who progressed to occlusion was much higher before 2002; the frequency decreased markedly after implementation in 2002–2003 of more intensive therapy based on plaque measurements. Error bars indicate 95% CI (reproduced by permission of the American Medical Association from: Yang et al).46 J David Spence et al. Stroke Vasc Neurol 2016;svn-2016-000016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/