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Comment & Response
March 2016

Measuring the Quality of Care for Patients With Traumatic Brain Injury

Author Affiliations
  • 1Department of Anesthesiology, Louisiana State University Health Science Center, New Orleans
JAMA Surg. 2016;151(3):293-294. doi:10.1001/jamasurg.2015.4224

To the Editor It is with interest that we read the article by Dawes and colleagues1 published in JAMA Surgery. The authors found that, while treating patients with severe traumatic brain injury, the guideline adherence rates ranged from 9.6% to 65.2% for intracranial pressure monitoring and from 6.7% to 76.2% for craniotomy, yet no association between hospital-level compliance rates and risk-adjusted patient outcomes was found. Dawes and colleagues1 suggest that caution should be taken before using compliance with these measures as independent quality metrics.

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