Quality of care indicators for the rehabilitation of children with traumatic brain injury

Arch Phys Med Rehabil. 2012 Mar;93(3):381-5.e9. doi: 10.1016/j.apmr.2011.08.015. Epub 2012 Jan 26.


Objective: To develop measurement tools for assessing compliance with identifiable processes of inpatient care for children with traumatic brain injury (TBI) that are reliable, valid, and amenable to implementation.

Design: Literature review and expert panel using the RAND/UCLA Appropriateness Method and a Delphi technique.

Setting: Not applicable.

Participants: Children with TBI.

Interventions: Not applicable.

Main outcome measure: Quality of care indicators.

Results: A total of 119 indicators were developed across the domains of general management; family-centered care; cognitive-communication, speech, language, and swallowing impairments; gross and fine motor skill impairments; neuropsychologic, social, and behavioral impairments; school reentry; and community integration. There was a high degree of agreement on these indicators as valid and feasible quality measures for children with TBI.

Conclusions: These indicators are an important step toward building a better base of evidence about the effectiveness and efficiency of the components of acute inpatient rehabilitation for pediatric patients with TBI.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Behavior
  • Brain Injuries / psychology
  • Brain Injuries / rehabilitation*
  • Child
  • Communication
  • Delphi Technique
  • Family
  • Humans
  • Mobility Limitation
  • Outcome and Process Assessment, Health Care / organization & administration
  • Patient-Centered Care / organization & administration
  • Pediatrics / organization & administration*
  • Quality Indicators, Health Care*