Improving Pediatric Brain Injury Outcomes Through Equitable Care Implementation

通过实施公平护理改善儿童脑损伤的结果

基本信息

批准号：
10597474
负责人：
MICHAEL J BELL
金额：
$ 10万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-07-01 至 2023-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10597474
关键词：
Acute Address Adherence Administrative Supplement Adult Adverse event Area Assessment tool Blood Pressure Caring Cause of Death Characteristics Child Childhood Cohort Studies Communities Consolidated Framework for Implementation Research Development Enrollment Evidence based practice Focus Groups Foundations Funding Future Geographic Locations Geography Goals Guideline Adherence Guidelines Hospital Costs Infant Care Interview Intracranial Pressure Measures Medical center Methods Monitor National Institute of Neurological Disorders and Stroke Outcome Patients Pediatric Brain Injury Performance Population Preparation Procedures Process Protocols documentation Public Health Race Randomized Controlled Trials Reporting Research Site South America Surveys System Testing Time Trauma Traumatic Brain Injury United States Work acute care anti-racism base care outcomes cost data repository disability disparity reduction ethnic disparity ethnic diversity evidence base evidence based guidelines health equity implementation framework implementation science improved improved outcome lens nutrition pediatric trauma pediatric traumatic brain injury pilot test programs racial and ethnic racial and ethnic disparities racial diversity trauma centers ventilation

项目摘要

Project Abstract Pediatric traumatic brain injury (TBI) is a public health crisis in the U.S. and worldwide. Adherence to the Brain Trauma Foundation Guidelines for the care of infants and children with acute TBI improves pediatric TBI outcomes but does not address additional outcome improvements that could be achieved by considering equity in acute TBI care. Addressing disparities in acute TBI care represents an important unmet need. We leverage the availability of the Pediatric Guideline Adherence and Outcomes (PEGASUS) program and ongoing randomized controlled trial and propose a one-year project to achieve equitable acute pediatric TBI care. The overarching aim is to incorporate an anti-racism lens to strengthen equitable implementation of the PEGASUS program for use by Level I and Level II U.S. trauma centers. The two Specific Aims are: 1) To characterize racial/ethnic disparities in acute pediatric TBI care and 2) To identify barriers, facilitators, and strategies to achieving equitable acute pediatric TBI care provision. An expected outcome of the proposed research is a PEGASUS equity assessment toolkit that Level I and II trauma centers can use to improve equitable implementation of the PEGASUS program in the United States.

项目摘要小儿创伤性脑损伤（TBI）是美国和全球的公共卫生危机。遵守脑创伤基金会指南，以照顾婴儿和儿童急性TBI改善了小儿TBI的结果，但没有解决其他结果通过考虑急性TBI护理中的股权可以实现的改进。寻址急性TBI护理的差异代表了重要的未满足需求。我们利用可用性小儿指南遵守和结果（PEGASUS）计划和持续的随机对照试验，并提出一个为期一年的项目，以实现公平的急性小儿 TBI护理。总体目的是结合一种反种族主义镜头以增强公平实施PEGASUS计划，用于I级和II级创伤中心使用。两个具体的目的是：1）表征急性小儿TBI中种族/种族差异护理和2）确定实现公平急性小儿的障碍，促进者和策略 TBI护理提供。拟议研究的预期结果是Pegasus权益评估工具包，I级创伤中心可以用来改善公平在美国实施Pegasus计划。

项目成果

期刊论文数量（2）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

The Status of Quality Improvement Programs for Pediatric Traumatic Brain Injury Care in Argentina.

DOI：
10.1016/j.jss.2021.03.024
发表时间：
2021-09
期刊：
The Journal of surgical research
影响因子：
0
作者：
Lujan S;Petroni G;Castellani P;Bollada S;Bell MJ;Velonjara J;Vavilala MS;Mock C;PEGASUS-Argentina author group
通讯作者：
PEGASUS-Argentina author group