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Disabil Rehabil. 2012;34(5):439-42. doi: 10.3109/09638288.2011.608146. Epub 2011 Oct 10.

Clinical pathways in head injury: improving the quality of care with early rehabilitation.

Author information

1
Sheffield Teaching Hospitals, Osborn Unit, Northern General Hospital, Sheffield, UK. rajiv.singh@sth.nhs.uk

Abstract

PURPOSE:

To improve the management of all hospital admissions with head injuries, including mild and moderate by developing a clinical pathway and a head injury team.

METHODS:

A head injury team was set up to take over the care of all admissions with head injury and to manage appropriate referrals and discharges. A key role was to facilitate communication between the different services involved in head injury care, arrange follow-up, support relatives and to educate healthcare staff.

RESULTS:

In the first year, the team took over the care of 196 admissions of whom 128 attended for 3-month follow-up with 66% having a good outcome. Patients and relatives feedback was excellent with an average score of 4.8/5 on overall satisfaction rating. Other centers in the United Kingdom are aiming to set up similar pathways, and the team has presented on head injury pathways extensively.

CONCLUSIONS:

A clinical pathway can improve the quality of care for all admissions with head injury and enhance the role for rehabilitation at an early stage.

PMID:
21985127
DOI:
10.3109/09638288.2011.608146
[Indexed for MEDLINE]
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