This article reports the development of an audit form for assessing th
e quality of stroke care from medical records. A consensus conference
to define standards was followed by testing of pilot versions of the a
udit form. Then formal assessment of inter-rater reliability- was carr
ied out in four centres using 76 medical records, each assessed by two
of eight auditors. Inter-rater reliability was acceptable, especially
when medically qualified auditors were used.