INTENT (EXPECTED OUTCOMES)
PERFORMANCE / ADHERENCE MEASURES
1. Non-availability of a neurosurgeon or anticipated length of time > 4 hours to arrive at a facility with a neurosurgeon was documented.
2. Teleconsultation with a neurosurgeon prior to craniectomy is documented.
3. The following indications for craniectomy by a non-neurosurgeon were documented:
4. Use of an electric drill for craniectomy procedure was documented.
5. Documented GCS prior to craniectomy at Role 2 was ≥ 4 and ≤ 8.
DATA SOURCE
SYSTEM REPORTING & FREQUENCY
The above constitutes the minimum criteria for PI monitoring of this CPG. System reporting will be performed annually; additional PI monitoring and system reporting may be performed as needed.
The system review and data analysis will be performed by the Joint Trauma System (JTS) Director and the JTS Performance Improvement Branch.
RESPONSIBILITIES
It is the trauma team leader’s responsibility to ensure familiarity, appropriate compliance and PI monitoring at the local level with this CPG.