CLINICAL PERFORMANCE MEASURE FOR PEDIATRIC BRAIN INJURY

小儿脑损伤的临床表现测量

• 批准号: 2649467
• 负责人: KEVIN W SMITH
• 金额: $ 9.65万
• 依托单位: NEW ENGLAND RESEARCH INSTITUTES, INC.
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-09-01 至 1999-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2649467
• 关键词: brain disorder diagnosis; brain injury; clinical research; diagnosis design /evaluation; functional ability; health care model; human subject; measurement; model design /development; performance; rehabilitation

Children with acquired brain injuries comprise the largest diagnostic group requiring inpatient care in specialized rehabilitation hospitals. For accreditation purposes, these hospitals will be required to collect performance measure data for high-volume patient groups beginning in 1998. This mandate presents a serious dilemma, since current performance measures in pediatric rehabilitation are inadequate to guide internal improvements or to evaluate comparative performance. To address these deficiencies, the principal aims of Phase I are to: (1) develop a working model for a clinical performance measure prototype based on expert feedback (2) develop new items for the prototype, and (3) demonstrate feasibility, clinical acceptance and criterion-related validity of the performance measure by collecting data on recent discharges from representative clinical sites. In Phase II of the research project, we will conduct further field studies of the performance measure's reliability, validity, refine the scaling approach for each dimension, create benchmarking indices, develop classification systems for diagnostic types/ severity, and finalize risk- adjustment methodologies. The final product of Phase II will be nationwide performance measurement system for children with acquired brain injury that will meet content and measurement requirements of multiple accreditation and contracting agencies. PROPOSED COMMERCIAL APPLICATION: The product of this SBIR project will be a marketable Performance Measurement System for children with Pediatric Brain Injury. As of 1998, all JCAHO accredited hospitals will need to contract with a data system to provide comparative data for high-volume patient groups. This Performance Measure meets all the JCAHO requirements and will fill a critical void for inpatient pediatric rehabilitation programs. Many acute care children's hospitals may also find this measure helpful in comparing performance of trauma care for children who are directly discharged home.

儿童获得性脑损伤是最大的诊断

项目成果

Developing a responsive measure of change for paediatric brain injury inpatient rehabilitation.

为儿科脑损伤住院患者康复制定变化的响应措施。

• DOI: 10.1080/02699050210128924
• 发表时间: 2002
• 期刊: Brain injury
• 影响因子: 1.9
• 作者: Bedell,GaryM;Haley,StephenM;Coster,WendyJ;Smith,KevinW
• 通讯作者: Smith,KevinW

Participation readiness at discharge from inpatient rehabilitation in children and adolescents with acquired brain injuries.

• DOI: 10.1080/1363849021000013540
• 发表时间: 2002-04-01
• 期刊: Pediatric rehabilitation
• 作者: Bedell, Gary M;Haley, Stephen M;Smith, Kevin W
• 通讯作者: Smith, Kevin W