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Related Experiment Video

Updated: Jan 13, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Improving Pediatric Concussion Management in the Primary Care Setting.

Corinna J Rea1,2, Rachel Sklar1, Eli Sprecher1,2

  • 1Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts.

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|January 6, 2026
PubMed
Summary
This summary is machine-generated.

Standardizing pediatric concussion care in primary care improved symptom scale use, education delivery, and follow-up rates. This initiative also reduced care disparities for vulnerable patient groups.

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Area of Science:

  • Pediatric neurology
  • Public health
  • Healthcare quality improvement

Background:

  • Pediatric concussion is prevalent, but primary care lacks standardized evaluation and management.
  • This inconsistency leads to delayed recovery, prolonged symptoms, and healthcare disparities.

Purpose of the Study:

  • To increase the proportion of pediatric concussion patients receiving standardized care in primary care settings.
  • Specific aims included improving symptom scale completion, educational material distribution, and timely follow-up.

Main Methods:

  • A multidisciplinary process improvement initiative was implemented using Plan-Do-Study-Act cycles.
  • Interventions included a clinical pathway, electronic medical record integration of a concussion symptom scale, standardized patient instructions, and staff education.
  • Data were monitored using statistical process control charts and stratified by patient demographics.

Main Results:

  • Pediatric Concussion Symptom Scale (PCSS) use increased from 37% to 85%.
  • Distribution of educational materials rose from 42% to 83%, and follow-up visit completion improved from 47% to 71%.
  • Disparities in care based on language and insurance status were reduced.

Conclusions:

  • A multifaceted, interdisciplinary approach successfully standardized concussion evaluation and management in primary care.
  • The initiative improved adherence to best practices and reduced healthcare disparities.
  • Further research is needed to assess the impact on clinical outcomes and patient recovery.