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Quality of care indicators for the rehabilitation of children with traumatic brain injury


Rivara FP, Ennis SK, Mangione-Smith R, MacKenzie EJ, Jaffe KM; National Expert Panel for the Development of Pediatric Rehabilitation Quality Care Indicators



Publication Info:

Archives of Physical Medicine and Rehabilitation, 93(3):381-385


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.

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