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

Frederick P. Rivara, Stephanie K. Ennis, Rita Mangione-Smith, Ellen J. MacKenzie, Kenneth M. Jaffe

Research output: Contribution to journalArticlepeer-review

37 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)381-385.e9
JournalArchives of physical medicine and rehabilitation
Issue number3
StatePublished - Mar 2012


  • Brain injuries
  • Quality of health care
  • Rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation


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