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.

National Institute of Health (NIH)
National Institute of Neurological Disorders and Stroke (NINDS)
Research Project (R01)
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Special Emphasis Panel (ZRG1 (01))
Program Officer
Hirtz, Deborah G
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University of Washington
Schools of Medicine
United States
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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
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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

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