Quality in Acute Stroke Care Implementation Project

Improving Performance and Accountability

Agency for Clinical Innovation

NSW Premier Mike Baird and Quality in Acute Stroke Care ImplementationThe Quality in Acute Stroke Care (QASC) Trial was led by researchers at the Nursing Research Institute (NRI), a joint initiative between St Vincent’s Health Australia (Sydney) and Australian Catholic University. The trial showed the effectiveness of multidisciplinary post-stroke clinical protocols used to manage fever, raised glucose and swallowing dysfunction. The trial also showed decreased death and dependency by 16% and reduced length of stay in hospital by two days. This effect is larger than any pharmacological or organisational initiative currently known; thus warranting urgent translation into everyday clinical practice for all stroke patients.  The QASC Implementation Project was an innovative, state-wide, collaborative translational pre/post design study that successfully implemented the fever, sugar and swallowing protocols used in the original QASC Trial into all 36 NSW stroke services within 14 months.