Bedside Swallow Screening Test (BSST) Protocol for Acute Stroke Patients
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2020
To increase BSST protocol adherence rate from 16.7% to 100% by October 2018 for identifying dysphagia in acute stroke. The intervention improved BSST initiation but highlighted the need for continuous education and stakeholder involvement.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Care Process ＆ Redesign, Value Based Care, Safe Care, Adherence Rate
About this Content
Aims
To increase BSST protocol adherence rate from 16.7% to 100% by October 2018 for identifying dysphagia in acute stroke patients.
Background
Low BSST adherence exposed stroke patients to complications and unnecessary restrictions.
Methods
Conducted daily roll call reinforcements, revised BSST curriculum, and implemented refresher training.
Results
Achieved 100% initiation rate for BSST but adherence varied due to documentation errors and lack of reinforcement.
Conclusion
The intervention improved BSST initiation but highlighted the need for continuous education and stakeholder involvement.
Lessons Learnt
Sustained training and stakeholder engagement improve adherence rates and ensure protocol effectiveness.
Keywords
Dysphagia Screening, Acute Stroke, Protocol Adherence
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Speech Therapy |
Project Lead(s) | Samantha Yeo |
Project Member(s) | Gladys Tan Li Yue |
Connect with this contributor!
Samantha Yeo - samantha_yeo@nuhs.edu.sg
Project Attachment
C109_NTFGH_QM_2020_Bedside_Swallow_Screening_Test_BSST_Protocol_for_Acute_Stroke_Patients.pdf