Report Cards as a Sustainability Tool for Guideline Adherence in Pediatric Traumatic Brain Injury.

Summary

This single-centre quality improvement report describes efforts to improve adherence to severe paediatric traumatic brain injury guidelines in a large PICU at a level 1 trauma centre. Interventions comprised an electronic health record TBI order set plus a structured "report card" audit-and-feedback system covering metrics in the first 72 hours of admission. Order set uptake and overall guideline adherence rose and were sustained, with temperature management, seizure prophylaxis and cerebral perfusion pressure most consistently met, while sodium and carbon dioxide targets remained difficult. It is a QI study rather than a guideline, but illustrates implementation strategies relevant to PICU neurotrauma care.

Summary written for PICUlearn. Always read the original.