Supplementary Material 1 : Adherence to Criteria for Stroke Admission
Clerking
The key below shows how adherence to each category is divided by percentage cut-offs. These have
been designed to aid interpretation of the results, by highlighting areas completed relatively well to
those needing greater improvement. Comparison can also be made between cycles to show areas that
have improved following intervention and areas that have deteriorated or remained the same.
Key
Adherence ≥ 90%
Adherence ≥ 70% and < 90%
Adherence < 70%
History Categories :
Cycle 1
Cycle 2
% recorded/ N
% recorded/ N2
Date of admission
100 (20)
100 (40)
Time of onset
90 (18)
98 (39)
Altered mental state
60 (12)
78 (31)
Limb weakness
90 (18)
88 (35)
Facial droop
40 (8)
50 (20)
Tactile sensory disturbance
20 (4)
28 (11)
Speech disturbance
70 (14)
68 (27)
Visual disturbance
25 (5)
23 (9)
Headache
30 (6)
28 (11)
Review of systems
20 (4)
90 (36)
100 (20)
100 (40)
10 (2)
73 (29)
Drug history
100 (20)
100 (40)
Co-habitation
85 (17)
98 (39)
Type of accommodation
25 (5)
70 (28)
Social assistance
70 (14)
90 (36)
Pre-stroke handicap
75 (15)
80 (32)
0 (0)
63 (25)
Smoking history
55 (11)
95 (38)
Alcohol history
45 (9)
100 (40)
Total
55.5
76
Categories :
Past medical history
Family history
Continence
Examination Categories :
Cycle 1
Cycle 2
Categories :
% recorded
% recorded2
Observations
70 (14)
90 (36)
GCS
55 (11)
100 (40)
CVS examination
90 (18)
95 (38)
Respiratory examination
90 (18)
95 (38)
Abdominal examination
80 (16)
95 (38)
Cranial nerves : Pupils
35 (7)
88 (35)
Cranial nerves : Acuity
5 (1)
75 (30)
Cranial nerves : Visual fields
40 (8)
80 (32)
Cranial nerves : Eye movements
35 (7)
80 (32)
Cranial nerves : Trigeminal
20 (4)
30 (12)
Cranial nerves : Facial muscles
60 (12)
85 (34)
Cranial nerves : Hearing
15 (3)
75 (30)
Cranial nerves : Soft palate
15 (3)
68 (27)
Cranial nerves : Accessory
15 (3)
68 (27)
Cranial nerves : Tongue
20 (4)
75 (30)
Limbs : Tone
50 (10)
85 (34)
Limbs : Power
90 (18)
88 (35)
Limbs : Co-ordination
25 (5)
73 (29)
Limbs : Reflexes
35 (7)
65 (26)
Limbs : Sensory limbs
50 (10)
68 (27)
Speech & language
60 (12)
100 (40)
AMTS
90 (18)
100 (40)
Total
47.5
81
Management Categories :
Cycle 1
Cycle 2
Categories :
% recorded
% recorded
Impression
100 (20)
68 (27)
CT Head
95 (19)
100 (40)
CXR
55 (11)
95 (38)
Bloods
55 (11)
93 (37)
VTE
35 (7)
90 (36)
Swallow assessment
40 (8)
78 (31)
ECG
85 (17)
98 (39)
Post take : secondary prevention
60 (12)
88 (35)
65.6
88.8
Total