Seeking to improve care for young patients: Development of tools to support the implementation of the CDC Pediatric mTBI Guideline |
| |
| Institution: | 1. ICF, 530 Gaither Road, Rockville, MD 20850, United States;2. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention, 1600 Clifton Road, Atlanta, GA 30329-4027, United States;1. Department of Pediatric Critical Care, Massachusetts General Hospital, Boston, MA;2. Harvard Medical School, Boston, MA;3. Department of Surgery, Division of Trauma, Emergency Services, and Surgical Critical Care, Massachusetts General Hospital, Boston, MA;4. Department of Psychiatry, Massachusetts General Hospital, Boston, MA;5. Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA;6. Department of Pediatric Surgery, Massachusetts General Hospital, Boston, MA;1. Department of Psychology, Institute of Nautical Medicine, Nantong University, 9 Seyuan Road, Nantong 226019, China;2. Department of Psychology, University of Alabama at Birmingham, 1300 University Blvd, CH 415, Birmingham, AL 35294, USA;3. School of Education Science, Nanjing Normal University, 122 Ninghai Road, Nanjing 210097, China;1. Department of Emergency Medicine, Spectrum Health/Helen DeVos Children''s Hospital, Michigan State University, Grand Rapids, MI;2. Department of Pediatric, University of Michigan, Ann Arbor, MI;3. Child Health Evaluation and Research Unit, University of Michigan, Ann Arbor, MI;4. Department of Emergency Medicine, University of Michigan, Ann Arbor, MI;5. Nationwide Children''s Hospital, Ohio State University, Columbus, OH |
| |
| Abstract: | IntroductionThe Centers for Disease Control and Prevention (CDC) Pediatric Mild Traumatic Brain Injury (mTBI) Guideline was created to help standardize diagnosis, prognosis, and management and treatment of pediatric mTBI. This paper describes the process CDC used to develop educational tools, and a dissemination and implementation strategy, in support of the CDC Pediatric mTBI Guideline.MethodsTwo qualitative data collection projects with healthcare providers who care for pediatric patients were conducted. In-depth interviews were used in both projects. Project One examined healthcare providers' guideline use and dissemination preferences. Project Two assessed perceptions of the CDC Pediatric mTBI Guideline educational tools.ResultsProject One brought to light four key areas related to Guideline usage and dissemination preferences, specifically a need for: (1) partnership with professional medical societies; (2) integration into electronic health records, mobile apps, and websites; (3) development of continuing medical education (CME) opportunities; and (4) dissemination through healthcare system leadership. In Project Two, healthcare providers reported that the CDC Pediatric mTBI Guideline educational tools were well-organized, clear and easy to navigate, and informative. Healthcare providers also requested more information on the Guideline methodology.DiscussionAssessment of pediatric healthcare providers' current use of clinical guidelines and preferences for educational tools yielded important insights that helped inform CDC's dissemination and implementation strategy for the Pediatric mTBI Guideline.Practical applicationsThe findings from these data collection projects can also inform other guideline implementation and dissemination efforts among healthcare providers. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
