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Improving Primary Care Provider Practices in Youth Concussion Management.
- Source :
- Clinical Pediatrics; Aug2017, Vol. 56 Issue 9, p854-865, 12p
- Publication Year :
- 2017
-
Abstract
- Primary care providers are increasingly providing youth concussion care but report insufficient time and training, limiting adoption of best practices. We implemented a primary care-based intervention including an electronic health record-based clinical decision support tool ("SmartSet") and in-person training. We evaluated consequent improvement in 2 key concussion management practices: (1) performance of a vestibular oculomotor examination and (2) discussion of return-to-learn/return-to-play (RTL/RTP) guidelines. Data were included from 7284 primary care patients aged 0 to 17 years with initial concussion visits between July 2010 and June 2014. We compared proportions of visits pre- and post-intervention in which the examination was performed or RTL/RTP guidelines provided. Examinations and RTL/RTP were documented for 1.8% and 19.0% of visits pre-intervention, respectively, compared with 71.1% and 72.9% post-intervention. A total of 95% of post-intervention examinations were documented within the SmartSet. An electronic clinical decision support tool, plus in-person training, may be key to changing primary care provider behavior around concussion care. [ABSTRACT FROM AUTHOR]
- Subjects :
- BRAIN concussion
COMPARATIVE studies
DECISION support systems
INFORMATION storage & retrieval systems
MEDICAL databases
LONGITUDINAL method
MEDICAL protocols
PRIMARY health care
QUALITY assurance
SPORTS participation
HUMAN services programs
PRE-tests & post-tests
ELECTRONIC health records
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 00099228
- Volume :
- 56
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- Clinical Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 124227245
- Full Text :
- https://doi.org/10.1177/0009922817709555