Stuart Emily A, Duerson Drew H, Rodenberg Richard E, Ravindran Reno, MacDonald James P
Children's Hospital Colorado, Aurora, Colo.; Norton Healthcare, Louisville, Ky.; Kosair Children's Hospital Medical Associates, Louisville, Ky.; and Nationwide Children's Hospital, Columbus, Ohio.
Pediatr Qual Saf. 2016 Nov 18;1(2):e006. doi: 10.1097/pq9.0000000000000006. eCollection 2016 Nov-Dec.
Concussion is a common injury in adolescent athletes, many of whom also drive. Counseling athletes and their families about driving risks post concussion is a potentially significant intervention. The aim of this quality improvement project was to increase driving recommendations for concussed athletes in a pediatric sports medicine clinic.
Patients in this quality improvement project were seen in the sports medicine concussion clinic between February 2014 and August 2015. We determined how often driving recommendations were documented through a retrospective chart review. Once the "return to drive" project was introduced to the sports medicine staff, multiple interventions were completed including handing out flyers to remind families about driving and creating changes to the electronic medical record.
At baseline, 9.3% of visits had driving recommendations documented. After an intervention requiring clinical documentation in the electronic medical record, 97% of patients received driving recommendations.
The quality improvement effort was successful at increasing the frequency of delivery of appropriate driving recommendations provided to concussed athletes.
脑震荡是青少年运动员中的常见损伤，他们中的许多人也会开车。就脑震荡后的驾驶风险向运动员及其家人提供咨询是一项潜在的重要干预措施。这个质量改进项目的目的是增加儿科运动医学诊所中对脑震荡运动员的驾驶建议。
该质量改进项目的患者于2014年2月至2015年8月期间在运动医学脑震荡诊所就诊。我们通过回顾性病历审查确定记录驾驶建议的频率。一旦向运动医学工作人员介绍了“恢复驾驶”项目，便完成了多项干预措施，包括发放传单以提醒家人注意驾驶，并对电子病历进行修改。
在基线时，9.3%的就诊记录有驾驶建议。在一项要求在电子病历中进行临床记录的干预措施之后，97%的患者收到了驾驶建议。
这项质量改进工作成功提高了向脑震荡运动员提供适当驾驶建议的频率。
