Standardizing care of children with head injury

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Authors
Okoye, Jude
Salih, Laylan
Khajawal, Seiyab
Austin, Richard
Issue Date
2021-05-26
Type
Clinical Audit
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head injury , head trauma , children , paediatrics
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Alternative Title
Making smart decisions for our children with head injury
Abstract
Aim: To reduce inappropriate CT head scans in children with isolated head injury
Description
We performed too many CT head scans in children. Parents worried about potential harm from radiation exposure of these scans. This project aimed to reduce the number of inappropriate CT head scan we performed. Clinicians said that pressure of work flow and little paediatric experience are reasons for incorrectly interpreting the NICE guideline. We organized head injury assessment workshops, created simplified local paediatric head injury proforma and made these resources visible in clinical areas. These reduced the number of CT head scan in children from 25% to 10% per week. Parents said they are happier avoiding needless CT scans.
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