The Quality in Acute Stroke Care (QASC) Trial showed that multidisciplinary, evidence-based, nurse-led interventions to manage fever, hyperglycaemia and swallowing following stroke significantly improved outcomes. Results, published in the Lancet, demonstrated that supported implementation of Fever, Sugar, and Swallow clinical protocols decreased death and dependency by 16% (p=0.002), reduced temperatures (p=0.001) and glucose levels (p=0.02), improved swallowing management (p=<0.001), and had a two-day length of stay reduction (p>0.144).
The NSW Agency for Clinical Innovation has partnered with the Nursing Research Institute, a joint initiative between St Vincent’s & Mater Health Sydney and Australian Catholic University, to conduct a 12-month translational quality improvement project to implement these clinical protocols in the 36 Stroke Services throughout NSW. The project commenced at the end of April this year and educational workshops are running in June and July 2013. The QASC implementation project team will be coming to a stroke service near you soon!
To download the FeSS clinical protocols, Implementation Project Tools and Guidelines and the ASSIST competency training please follow the link below.