Percent of adult patients who presented within 24 hours of a non-penetrating head injury with a Glasgow coma score (GCS) >13 and underwent head CT for trauma in the ED who have a documented indication consistent with guidelines(1) prior to imaging.
(1) Jagoda AS, Bazarian JJ, Bruns JJ Jr, Cantrill SV, Gean AD, Howard PK, Ghajar J, Riggio S, Wright DW, Wears RL, Bakshy A, Burgess P, Wald MM, Whitson RR; American College of Emergency Physicians; Centers for Disease Control and Prevention. Clinical policy: neuroimaging and decision-making in adult mild traumatic brain injury in the acute setting. Ann Emerg Med. 2008 Dec;52(6):714-48. PubMed PMID: 19027497.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
Number of denominator patients who have a documented indication consistent with the ACEP clinical policy for mild traumatic brain injury prior to imaging.
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1.15 Denominator
Number of adult patients undergoing head CT for trauma who presented within 24 hours of a non-penetrating head injury with a Glasgow Coma Scale (GCS) ?14
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Exclusions
- Age <16 years
- GCS <14 on initial ED evaluation
- Obvious penetrating skull injury or obvious depressed skull fracture
- Patients with multisystem trauma
- Returned for reassessment of the same injury
- Pregnant
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Neurology Fall Cycle 2017Initial EndorsementLast UpdatedRemoval Date
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Steward Organization Email
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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