Improving Post Stroke Depression Screening Rate using Hospital Anxiety Depression Scale (HADS)
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2022
Achieve 80% HADS screening within 2 working days for newly admitted stroke patients at JCH C10 ward. Demonstrated the effectiveness of structured approaches in post-stroke depression screening.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Process ＆ Redesign, Value Based Care, Safe Care, Adherence Rate
About this Content
Aims
Achieve 80% HADS screening within 2 working days for newly admitted stroke patients at JCH C10 ward.
Background
Screening was conducted for fewer than 10% of stroke patients despite evidence linking depression to poor outcomes.
Methods
Implemented PDSA cycles: clerking templates, visual reminders, structured orientation, and new workflows.
Results
HADS screening compliance increased from <10% to 80%; sustainable results achieved across multiple cycles.
Conclusion
Demonstrated the effectiveness of structured approaches in post-stroke depression screening.
Lessons Learnt
Multi-modality interventions and stakeholder engagement are critical for sustainable improvement.
Additional Information
Expanded beyond JCH C10 ward to additional wards
Keywords
HADS, Post-Stroke Depression, Screening Rate, Stroke Care
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Jurong Community Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Neurology, Psychology |
Project Lead(s) | Elvina Tay |
Project Member(s) | Alvin Ong |
Connect with this contributor!
Dr. Elvina Tay - elvina_tay@nuhs.edu.sg