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CLINICAL PERFORMANCE MEASURE FOR PEDIATRIC BRAIN INJURY

小儿脑损伤的临床表现测量

基本信息

批准号：
6387964
负责人：
KEVIN W SMITH
金额：
$ 47.75万
依托单位：
NEW ENGLAND RESEARCH INSTITUTES, INC.
依托单位国家：
美国
项目类别：
财政年份：
1998
资助国家：
美国
起止时间：
1998-09-01 至 2003-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6387964
关键词：
adolescence (12-20) bioengineering /biomedical engineering biomedical equipment development brain disorder diagnosis brain injury child (0-11) clinical research diagnosis design /evaluation functional ability human subject measurement patient monitoring device pediatrics performance psychometrics rehabilitation

项目摘要

Children with acquired brain injuries comprise the largest diagnostic group requiring in patient care in specialized rehabilitation hospitals. For accreditation purposes, these hospitals are now required to collect performance measure data for high-volume patient groups. This mandate presents a serious dilemma, since current performance measures in pediatric rehabilitation are inadequate to guide internal improvements or to evaluate comparative performance. After conducting an extensive literature review and consulting experts in the field, in Phase I we designed a 44-item prototype performance instrument. The instrument focuses on three critical content areas for brain-injured children: 1) daily activities, 2) social and behavioral competence, and 3)community readiness skills. In Phase II of the research project, we will conduct a prospective survey of patients in 8 randomly selected facilities, revise the item content, conduct reliability and validity analyses, and develop risk-adjusted benchmarks for expected levels of functioning. The risk adjustment methodology is designed to meet the Joint Commission for the Accreditation of Health Organization's (JCAHO) requirements for approving new instruments. The final product of Phase II will be a marketable performance measurement system for children with acquired brain injury that will meet content and measurement requirements of accreditation and contracting agencies. PROPOSED COMMERCIAL APPLICATIONS: 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 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 in patient 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.

后天性脑损伤的儿童是需要在专门康复医院接受病人护理的最大诊断群体。出于认证目的，这些医院现在需要收集大量患者群体的绩效衡量数据。这一任务提出了一个严重的困境，因为目前在儿科康复的性能指标是不够的，以指导内部改进或评估比较性能。在进行了广泛的文献回顾和咨询专家在该领域，在第一阶段，我们设计了一个44项原型性能工具。该工具重点关注脑损伤儿童的三个关键内容领域：1）日常活动，2）社交和行为能力，以及3）社区准备技能。在研究项目的第二阶段，我们将在8个随机选择的设施中对患者进行前瞻性调查，修改项目内容，进行可靠性和有效性分析，并为预期的功能水平制定风险调整基准。风险调整方法旨在满足卫生组织认证联合委员会（JCAHO）批准新仪器的要求。第二阶段的最终产品将是一个可销售的后天性脑损伤儿童的性能测量系统，该系统将满足认证和签约机构的内容和测量要求。拟议的商业应用：该SBIR项目的产品将是一个可销售的儿童脑损伤儿童性能测量系统。截至1998年，所有JCAHO认证的医院都需要与数据系统签订合同，为大容量患者群体提供比较数据。该性能指标符合JCAHO的所有要求，并将填补患者儿科康复计划的关键空白。许多急性护理儿童医院也可能发现这种措施有助于比较直接出院回家的儿童的创伤护理表现。