Variation in adherence to new quality-of-care indicators for the acute rehabilitation of children with traumatic brain injury.
Arch Phys Med Rehabil
; 93(8): 1371-6, 2012 Aug.
Article
em En
| MEDLINE
| ID: mdl-22446294
ABSTRACT
OBJECTIVE:
To determine variations in care provided by 9 inpatient rehabilitation units for children with traumatic brain injury (TBI) using newly developed quality indicators.DESIGN:
Retrospective cohort study.SETTING:
Nine inpatient rehabilitation units.PARTICIPANTS:
Children (N=174; age range, 0-17y) admitted for the inpatient rehabilitation of moderate to severe TBI.INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURES:
Adherence to 119 newly developed quality-of-care indicators in 7 different domains general care, family-centered care, cognitive-communication, motor, neuropsychological, school, and community integration.RESULTS:
There was substantial variation both within and between institutions in the percentage of patients receiving recommended care in the 7 domains. The lowest scores were found for the school domain. Only 5 institutions scored above 50% for all quality indicators, and only 1 institution scored above 70% overall. Greater adherence to quality indicators was found for facilities with a higher proportion of therapists with pediatric training and for facilities that only admitted children. Patient volume was not associated with adherence to quality indicators.CONCLUSIONS:
The results indicate a tremendous variability and opportunity for improvement in the care of children with TBI.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Centros de Reabilitação
/
Lesões Encefálicas
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Guias de Prática Clínica como Assunto
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Fidelidade a Diretrizes
/
Indicadores de Qualidade em Assistência à Saúde
Tipo de estudo:
Guideline
/
Observational_studies
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Risk_factors_studies
Limite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article