BACKGROUND: Quality indicator collection and feedback improves @entity64 care. We sought to determine whether quality improvement training plus indicator feedback was more effective than indicator feedback alone in improving @entity64 indicators. METHODS: We conducted a cluster-randomised quality improvement trial, randomising hospitals to quality improvement training plus indicator feedback versus indicator feedback alone to improve @entity1150 ( @entity1150 ) prophylaxis and @entity1282 screening. Intervention sites received collaborative-based quality improvement training, external facilitation and indicator feedback. Control sites received only indicator feedback. We compared indicators pre-implementation (pre-I) to active implementation (active-I) and post-implementation (post-I) periods. We constructed mixed-effect logistic models of the two indicators with a random intercept for hospital effect, adjusting for @entity1 , time, intervention and hospital variables. RESULTS: @entity1 at intervention sites (1147 admissions), had similar race, gender and National Institutes of Health Stroke Scale scores to control sites (1017 admissions). @entity1150 prophylaxis improved more in intervention sites during active-I period (ratio of ORs 4.90, p<0.001), but did not differ in post-I period. @entity1282 screening improved similarly in both groups during active-I, but control sites improved more in post-I period (ratio of ORs 0.67, p=0.04). In logistic models, the intervention was independently positively associated with @entity1150 performance during active-I period, and negatively associated with @entity1282 performance post-I period. CONCLUSION: Quality improvement training was associated with early @entity1150 improvement, but the effect was not sustained over time and was not seen with @entity1282 screening. External quality improvement programmes may quickly boost performance but their effect may vary by indicator and may not sustain over time.

A cluster-randomised quality improvement study to improve two XXXX quality indicators.

@entity1150 :: ('MESH:D020246', 'Disease') :: ['deep vein thrombosis', 'DVT'] @entity1 :: ('9606', 'Species') :: ['Patients', 'patient'] @entity64 :: ('MESH:D020521', 'Disease') :: ['inpatient stroke', 'stroke'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['Dysphagia', 'dysphagia']
@entity64 :: (MESH:D020521,Disease) :: ['inpatient stroke']
