Examining Emergency Department Treatment Processes in Severe Pediatric Traumatic Brain Injury.

ABSTRACT:

Background

In the treatment of pediatric traumatic brain injury (TBI), timely treatment of patients can affect the outcome. Our objectives were to examine the treatment process of acute pediatric TBI and the impact of non-value-added time (NVAT) on patient outcomes.

Methods

Data for 136 pediatric trauma patients (age < 18 years) with severe TBI from 2 trauma centers in the United States were collected. A process flow and value stream map identified NVATs and their sources in the treatment process. Cluster and regression analysis were used to examine the relationship between NVAT, as a percentage of the patient's length of stay (LOS), and the patient outcome, measured by their corresponding Glasgow outcome scale.

Results

There were 14 distinct sources of NVAT identifie

SUBMITTER: Ajdari A 

PROVIDER: S-EPMC5540834 | biostudies-literature | 2017 Nov/Dec

REPOSITORIES: biostudies-literature