TY - JOUR PY - 2012// TI - Quality of Care Indicators for the Rehabilitation of Children With Traumatic Brain Injury JO - Archives of physical medicine and rehabilitation A1 - Rivara, Frederick P. A1 - Ennis, Stephanie K. A1 - Mangione-Smith, Rita A1 - MacKenzie, Ellen J. A1 - Jaffe, Kenneth M. SP - 381 EP - 5.e9 VL - 93 IS - 3 N2 - 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
LA - en SN - 0003-9993 UR - http://dx.doi.org/10.1016/j.apmr.2011.08.015 ID - ref1 ER -