A Review of Implementation Concepts and Strategies Surrounding Traumatic Brain Injury Clinical Care Guidelines

被引：10

作者：

Lumba-Brown, Angela ^{[1
]}

Prager, Eric M. ^{[2
]}

Harmon, Nicole ^{[2
]}

McCrea, Michael A. ^{[3
,4
]}

Bell, Michael J. ^{[5
]}

Ghajar, Jamshid ^{[6
]}

Pyne, Scott ^{[7
]}

Cifu, David X. ^{[8
,9
]}

机构：

[1] Stanford Univ, Dept Emergency Med, Stanford, CA USA

[2] Cohen Vet Biosci, New York, NY USA

[3] Med Coll Wisconsin, Dept Neurosurg, Milwaukee, WI 53226 USA

[4] Zablocki Vet Affairs Med Ctr, Neurosurg Res Lab, Milwaukee, WI USA

[5] Childrens Natl Hosp, Crit Care Med, Pediat, Washington, DC USA

[6] Stanford Univ, Dept Neurosurg, Sch Med, Palo Alto, CA 94304 USA

[7] Def Hlth Agcy, Traumat Brain Injury Ctr Excellence, Silver Spring, MD USA

[8] Virginia Commonwealth Univ, Sch Med, Richmond, VA USA

[9] Hunter Holmes McGuire Vet Affairs Med Ctr, Richmond, VA USA

来源：

JOURNAL OF NEUROTRAUMA | 2021年 / 38卷 / 23期

关键词：

clinical guidelines; concussion; implementation; traumatic brain injury; TBI; FOUNDATION GUIDELINES; MANAGEMENT; QUALITY; MILD; NONCOMPLIANCE; PHYSICIANS; FREQUENCY; ADHERENCE; CONSENSUS; OUTCOMES;

D O I：

10.1089/neu.2021.0067

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Despite considerable efforts to advance the science surrounding traumatic brain injury (TBI), formal efforts supporting the current and future implementation of scientific findings within clinical practice and healthcare policy are limited. While many and varied guidelines inform the clinical management of TBI across the spectrum, clinicians and healthcare systems are not broadly adopting, implementing, and/or adhering to them. As part of the Brain Trauma Blueprint TBI State of the Science, an expert workgroup was assembled to guide this review article, which describes: (1) possible etiologies of inadequate adoption and implementation; (2) enablers to successful implementation strategies; and (3) strategies to mitigate the barriers to adoption and implementation of future research.

引用

页码：3195 / 3203

页数：9

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