Temporal structures that determine consistency and quality of care: a case study in hyperacute stroke services.

Background: . In this case study of hyperacute stroke wards which provide initial stroke investigation, treatment and care, we explored temporal structuring patterns to explain how these may affect quality of care.

Methods: This paper presents a thematic analysis of qualitative interviews with hyperacute stroke staff (n=76), non-participant observations (n=41, ~102 hours) and documentary analysis of the relevant service standards guidance.

What does it take to provide clinical interventions with temporal consistency? A qualitative study of London hyperacute stroke units.

Objectives: Seven-day working in hospitals is a current priority of international health research and policy. Previous research has shown variability in delivering evidence-based clinical interventions across different times of day and week. We aimed to identify factors influencing such variations in London hyperacute stroke units (HASUs).

Variation in quality of acute stroke care by day and time of admission: prospective cohort study of weekday and weekend centralised hyperacute stroke unit care and non-centralised services.

Objective: To investigate variations in quality of acute stroke care and outcomes by day and time of admission in London hyperacute stroke units compared with the rest of England.

Design: Prospective cohort study using anonymised patient-level data from the Sentinel Stroke National Audit Programme.

Setting: Acute stroke services in London hyperacute stroke units and the rest of England.