Citation

Rivara FP, Ennis SK, Mangione-Smith R, MacKenzie EJ, Jaffe KM. Arch. Phys. Med. Rehabil. 2012; 93(3): 381-5.e9.

Affiliation

Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA; Department of Pediatrics, University of Washington, Seattle, WA; Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA.

Copyright

(Copyright © 2012, Elsevier Publishing)

DOI

10.1016/j.apmr.2011.08.015

PMID

22280892

PMCID

PMC3290736

Abstract

Rivara FP, Ennis SK, Mangione-Smith R, MacKenzie EJ, Jaffe KM; and the National Expert Panel for the Development of Pediatric Rehabilitation Quality Care Indicators. Quality of Care Indicators for the Rehabilitation of Children With Traumatic Brain Injury. OBJECTIVE: To develop measurement tools for assessing compliance with identifiable processes of inpatient care for children with traumatic brain injury (TBI) that are reliable, valid, and amenable to implementation. DESIGN: Literature review and expert panel using the RAND/UCLA Appropriateness Method and a Delphi technique. SETTING: Not applicable. PARTICIPANTS: Children with TBI. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Quality of care indicators. RESULTS: A total of 119 indicators were developed across the domains of general management; family-centered care; cognitive-communication, speech, language, and swallowing impairments; gross and fine motor skill impairments; neuropsychologic, social, and behavioral impairments; school reentry; and community integration. There was a high degree of agreement on these indicators as valid and feasible quality measures for children with TBI. CONCLUSIONS: These indicators are an important step toward building a better base of evidence about the effectiveness and efficiency of the components of acute inpatient rehabilitation for pediatric patients with TBI.

Language: en