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Updated: May 16, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation

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Evidence-Informed Quality Indicators for Pediatric Trauma Care.

Lynne Moore^1,2, Natalie L Yanchar³, Pier-Alexandre Tardif⁴

¹Population Health and Optimal Health Practices Research Unit, Trauma-Emergency-Critical Care Medicine, Centre de Recherche du CHU de Québec-Université Laval (Hôpital de l'Enfant-Jésus), Québec, Québec, Canada.

JAMA Pediatrics

|March 31, 2025

Summary

This summary is machine-generated.

A consensus developed 23 quality indicators (QIs) for pediatric trauma care. These evidence-based QIs address effectiveness, safety, and equity to improve care for children with injuries.

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Area of Science:

Pediatric Trauma Care
Quality Improvement Science
Health Services Research

Background:

Pediatric trauma patients have unique needs, yet lack specific quality indicators (QIs) for improvement.
Existing quality metrics may not adequately address the complexities of pediatric trauma care.

Purpose of the Study:

To establish a consensus-based set of QIs for acute pediatric trauma care.
To ensure QIs are evidence-based, considering effectiveness, safety, cost-effectiveness, equity, and caregiver perspectives.
To develop QIs applicable across diverse trauma center settings.

Main Methods:

A modified RAND/UCLA expert consensus study involving surveys and a virtual workshop.
Inclusion of diverse panelists: pediatric trauma experts, various care settings, international representation, and caregivers.
Analysis of 41 potential QIs rated on importance, evidence, actionability, and measurability.

Main Results:

Fifty-nine experts participated, with 54 completing the consensus process.
Twenty-three QIs were selected, covering neurotrauma, vital signs, rehabilitation, nutrition, specific injuries (TBI, fractures, solid organ), imaging, patient-centered care, and equity.
Selected QIs focus on areas like transfer protocols, documentation, early interventions, and patient/caregiver support.

Conclusions:

The developed QIs provide a foundation for quality improvement in pediatric trauma care.
These indicators can enhance the effectiveness, safety, cost-effectiveness, and equity of care for injured children.
The consensus-based approach ensures relevance and applicability in various high-resource trauma settings.