Start Date

5-3-2024 9:10 AM

End Date

5-3-2024 11:00 AM

Description

Background

Problem Statement: There are subsets of patients with traumatic intracranial hemorrhage who are low-risk for clinically significant hemorrhage expansion and/or neurologic deterioration requiring procedural intervention, yet these patients often undergo multiple serial head CT’s requiring an extended length of stay that may not be necessary. The Brain Injury Guidelines1,2 (BIG) and subsequent modified Brain Injury Guidelines3 (mBIG) sought to categorize these low-risk subsets and provide an algorithm for more efficient care for these patients.

Project AIM: For low-risk patients with traumatic intracranial hemorrhage (specifically mBIG 2), we aim to reduce the number of head CT’s during admission by 50% in 6 months

Keywords

trauma, intercranial hemorrhage, neurosurgery

Comments

Presented at the 2024 Jefferson Health Equity and Quality Improvement (HEQI) Summit.

Included in

Neurosurgery Commons

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May 3rd, 9:10 AM May 3rd, 11:00 AM

Improving Head CT Utilization after Traumatic Intracranial Hemorrhage According to the Modified Brain Injury Guidelines (mBIG)

Background

Problem Statement: There are subsets of patients with traumatic intracranial hemorrhage who are low-risk for clinically significant hemorrhage expansion and/or neurologic deterioration requiring procedural intervention, yet these patients often undergo multiple serial head CT’s requiring an extended length of stay that may not be necessary. The Brain Injury Guidelines1,2 (BIG) and subsequent modified Brain Injury Guidelines3 (mBIG) sought to categorize these low-risk subsets and provide an algorithm for more efficient care for these patients.

Project AIM: For low-risk patients with traumatic intracranial hemorrhage (specifically mBIG 2), we aim to reduce the number of head CT’s during admission by 50% in 6 months