Seeking to improve care for young patients: Development of tools to support the implementation of the CDC Pediatric mTBI Guideline
Seeking to improve care for young patients: Development of tools to support the implementation of the CDC Pediatric mTBI Guideline
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DOI：
10.1016/j.jsr.2018.09.006
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发表时间：
2018-12-01
影响因子：
4.1
通讯作者：
Sarmiento, Kelly
中科院分区：
文献类型：
--
作者：
Donnell, Zoe;Hoffman, Roseanne;Sarmiento, Kelly
简介：美国疾病控制与预防中心 (CDC) 制定小儿轻度创伤性脑损伤 (mTBI) 指南，旨在帮助标准化小儿 mTBI 的诊断、预后以及管理和治疗。本文描述了 CDC 用于开发教育工具的过程以及传播和实施策略，以支持 CDC 儿科 mTBI 指南。方法：与照顾儿科患者的医疗保健提供者进行了两个定性数据收集项目。这两个项目都采用了深度访谈。项目一检查了医疗保健提供者的指南使用和传播偏好。项目二评估了对 CDC 儿科 mTBI 指南教育工具的看法。结果：项目一揭示了与指南使用和传播偏好相关的四个关键领域，特别是需要：（1）与专业医学协会建立伙伴关系； (2) 集成到电子健康记录、移动应用程序和网站中； (3) 发展继续医学教育（CME）机会； (4) 通过医疗保健系统领导进行传播。在项目二中，医疗保健提供者报告说，CDC 儿科 mTBI 指南教育工具组织良好、清晰易懂且信息丰富。医疗保健提供者还要求提供有关指南方法的更多信息。讨论：对儿科医疗保健提供者当前对临床指南的使用和对教育工具的偏好的评估产生了重要的见解，有助于为 CDC 的儿科 mTBI 指南的传播和实施策略提供信息。实际应用：这些数据收集项目的结果还可以为医疗保健提供者之间的其他指南实施和传播工作提供信息。 (C) 2018 国家安全委员会和 Elsevier Ltd. 保留所有权利。
Introduction: The 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. Methods: Two 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. Results: Project 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. Discussion: Assessment 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 applications: The findings from these data collection projects can also inform other guideline implementation and dissemination efforts among healthcare providers. (C) 2018 National Safety Council and Elsevier Ltd. All rights reserved.