RESUMEN
INTRODUCTION: The aim was to leverage electronic health record (EHR) smartphrases to improve compliance with the modified Brain Injury Guidelines (mBIG). METHODS: Smartphrases were developed for the trauma team and radiology and implemented December 2022. Traumatic brain injury (TBI) patients meeting mBIG inclusion from 03/2021- 07/2023 were reviewed. Smartphrase usage and clinical compliance with mBIG (measured by percent reduction of repeat head imaging, ICU admissions, and neurosurgery consults) were compared pre- and post-intervention. RESULTS: 268 cases were examined. Post-intervention, mBIG1 patients had significantly fewer neurosurgery consults (82.4 â% vs. 50.0 â%, OR â= â0.21, p â= â0.03), while mBIG2 patients had significantly fewer repeat head CTs (91.0 â% vs. 66.7 â%, OR â= â0.2, p â= â0.01), ICU admissions (66.7 â% vs. 38.5 â%, OR â= â0.31, p â= â0.02) and neurosurgery consults (93.9 â% vs. 56.4 â%, OR â= â0.08, p â< â0.01). CONCLUSION: Standardized smartphrases can streamline workflow and significantly improve trauma team compliance with best practice guidelines for TBI and reduce unnecessary imaging, consults, and costly ICU admissions.