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

Frederick P. Rivara, Stephanie K. Ennis, Rita Mangione-Smith, Ellen J Mackenzie, Kenneth M. Jaffe

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
JournalArchives of Physical Medicine and Rehabilitation
Volume93
Issue number3
DOIs
StatePublished - Mar 2012

Fingerprint

Quality of Health Care
Rehabilitation
Inpatients
Community Integration
Delphi Technique
Motor Skills
Deglutition
Child Care
Language
Communication
Outcome Assessment (Health Care)
Pediatrics
Traumatic Brain Injury

Keywords

  • Brain injuries
  • Quality of health care
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Quality of care indicators for the rehabilitation of children with traumatic brain injury. / Rivara, Frederick P.; Ennis, Stephanie K.; Mangione-Smith, Rita; Mackenzie, Ellen J; Jaffe, Kenneth M.

In: Archives of Physical Medicine and Rehabilitation, Vol. 93, No. 3, 03.2012.

Research output: Contribution to journalArticle

Rivara, Frederick P. ; Ennis, Stephanie K. ; Mangione-Smith, Rita ; Mackenzie, Ellen J ; Jaffe, Kenneth M. / Quality of care indicators for the rehabilitation of children with traumatic brain injury. In: Archives of Physical Medicine and Rehabilitation. 2012 ; Vol. 93, No. 3.
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