ABSTRACT: Acute stroke can result in neurological impairment or death. The Colorado Stroke Alliance and the Colorado Stroke Registry have made progress toward improving stroke care through their statewide quality improvement efforts. This report is a follow-up to a previous publication in the Journal of Neuroscience Nursing. The previous report focused on the organization and structure of the Colorado Stroke Alliance. The present report describes some of the successes and insights that have been achieved, including adherence to stroke quality indicators, gender disparities, process times for intravenous recombinant tissue plasminogen activator/alteplase, the impact of emergency medical services, and the role that nurses continue to have as agents of change in improving hospital care.
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Don Smith, MD, is a clinical professor of neurology, University of Colorado Health Sciences Center, Aurora, CO.
Michael Vislosky, RN BS CCRN CNRN RCIS, is with St. Mary Corwin Medical Center, Pueblo, CO.
Mark Tripputi, PhD, was with the Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Denver, Aurora, CO.
Ethan Cumbler, MD, is an associate professor of medicine at the University of Colorado Denver, Aurora, CO, and with the Stroke Council, University of Colorado Hospital, Aurora, CO.
Julie Blakie, RN MBA, is with the American Heart Association, Denver, CO.
Marsha Wilde, MHA, was with the Cardiovascular Disease and Stroke Program, Colorado Department of Public Health and Environment, Denver, CO.
William Jones, MD, is with the School of Medicine, University of Colorado Denver, Aurora, CO.
Connie Zachrich, MS BS, is with the Littleton Adventist Hospital, Littleton, CO.
Pam Elser, RN BSN CNRN, is with the Parker Adventist Hospital, Parker, CO.
Katie Leonard, MSN NP, is with the Swedish Medical Center, Englewood, CO.