Abstract

Traumatic brain injury (TBI) is the leading killer of children over one year of age. In 2003, the evidence based ?Guidelines for the Acute Medical Management of Severe Pediatric Traumatic Brain Injury? was published. Yet, there are no strategies to increase adherence to these guidelines. Our project goal is to use an adherence scorecard to examine the association between adherence and patient outcomes, develop a value stream map illustrating factors impacting adherence, and use computer simulation to create a best practices blueprint for adherence. The guiding hypothesis is that organizational factors predict, adherence predicts outcomes and that a best practices blueprint will result in both adherence and favorable outcomes after severe pediatric TBI.

Public Health Relevance

Strategies to increase adherence to the Pediatric Guidelines for severe traumatic brain injury are not known. We will use implementation science methods, such as value stream maps and iterative computer simulation, to develop and disseminate a best practices blueprint that increases adherence to the Pediatric Guidelines.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Research Project (R01)
Project #
3R01NS072308-03S1
Application #
8437467
Study Section
Special Emphasis Panel (ZRG1 (01))
Program Officer
Hirtz, Deborah G
Project Start
2010-09-01
Project End
2015-08-31
Budget Start
2012-09-01
Budget End
2013-08-31
Support Year
3
Fiscal Year
2012
Total Cost
$47,594
Indirect Cost
$16,689

  Institution

Name
University of Washington
Department
Anesthesiology
Type
Schools of Medicine
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195

  Publications

Kannan, Nithya; Wang, Jin; Mink, Richard B et al. (2018) Timely Hemodynamic Resuscitation and Outcomes in Severe Pediatric Traumatic Brain Injury: Preliminary Findings. Pediatr Emerg Care 34:325-329
Watanitanon, Arraya; Lyons, Vivian H; Lele, Abhijit V et al. (2018) Clinical Epidemiology of Adults With Moderate Traumatic Brain Injury. Crit Care Med 46:781-787
Ajdari, Ali; Boyle, Linda Ng; Kannan, Nithya et al. (2018) Simulation of the Emergency Department Care Process for Pediatric Traumatic Brain Injury. J Healthc Qual 40:110-118
Ajdari, Ali; Boyle, Linda Ng; Kannan, Nithya et al. (2017) Examining Emergency Department Treatment Processes in Severe Pediatric Traumatic Brain Injury. J Healthc Qual 39:334-344
Algarra, Nelson N; Lele, Abhijit V; Prathep, Sumidtra et al. (2017) Intraoperative Secondary Insults During Orthopedic Surgery in Traumatic Brain Injury. J Neurosurg Anesthesiol 29:228-235
Kannan, Nithya; Quistberg, Alex; Wang, Jin et al. (2017) Frequency of and factors associated with emergency department intracranial pressure monitor placement in severe paediatric traumatic brain injury. Brain Inj 31:1745-1752
Graves, Janessa M; Kannan, Nithya; Mink, Richard B et al. (2016) Guideline Adherence and Hospital Costs in Pediatric Severe Traumatic Brain Injury. Pediatr Crit Care Med 17:438-43
Vavilala, Monica S; Graves, Janessa M (2016) The authors reply. Pediatr Crit Care Med 17:901-2
Miller Ferguson, Nikki; Shein, Steven L; Kochanek, Patrick M et al. (2016) Intracranial Hypertension and Cerebral Hypoperfusion in Children With Severe Traumatic Brain Injury: Thresholds and Burden in Accidental and Abusive Insults. Pediatr Crit Care Med 17:444-50
Moore, Megan; Robinson, Gabrielle; Mink, Richard et al. (2015) Developing a Family-Centered Care Model for Critical Care After Pediatric Traumatic Brain Injury. Pediatr Crit Care Med 16:758-65

Showing the most recent 10 out of 29 publications