ArticlePediatric quality & safety
Improving Concussion Management by Including Driving Recommendations for Adolescents with Concussions: A Quality Improvement Project.
Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Electronic health record data extraction: Physical therapists' documentation of physical activity assessments and prescriptions for patients with chronic low back pain.Physiotherapy theory and practice · 2024Article
- R2DRV: study protocol for longitudinal assessment of driving after mild TBI in young drivers.Injury epidemiology · 2024Article
- Special Report from the CDC Healthcare provider influence on driving behavior after a mild traumatic brain injury: Findings from the 2021 SummerStyles survey.Journal of safety research · 2023Article
- Prospective evaluation of an evidence-based decision tool to assess pediatric blunt abdominal trauma (BAT).Pediatric surgery international · 2022Article
- An Integrative Review of Return to Driving After Concussion in Adolescents.The Journal of school nursing : the official publication of the National Association of School Nurses · 2021Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMotor vehicle collisions are the leading cause of death in adolescents. A concussion is a common injury sustained by adolescents and may impair their driving abilities during the acute phase of recovery. Healthcare providers do not consistently perform counseling of adolescents regarding driving after a concussion. This quality improvement project's goal was to increase the incidence of primary care sports medicine physicians providing driving recommendations to 75% of adolescents who suffered from concussions.
methodsBetween August 2017 to August 2018, a "smart phrase" implemented in the electronic health record system reminded providers during office visits to provide driving recommendations to patients 15 years old and older who presented to the sports medicine clinic for evaluation of concussion. Performing monthly retrospective chart reviews determined the frequency of patients who received driving recommendations during the initial visit.
resultsWe achieved the goal of providing driving recommendations to 75% of concussed patients by the second month. This progress was maintained through the remainder of the year, except for 1 month (December). Forty-three percent of patients with concussions evaluated met inclusion criteria, and of those, 48% were actively driving before their concussion. The most common medical reason for restricting driving was vestibular or ocular dysfunction.
conclusionThis quality improvement project showed that providing driving instructions to concussion patients by implementing a smart phrase into the electronic health record system was impactful and sustainable.
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Registered trials
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