To increase the accuracy of doctors' decisions to launch or forgo child abuse evaluations in their young, acutely head-injured patients, investigators have derived and validated a clinical decision rule (CDR) that detects abusive head trauma (AHT) with 96% sensitivity in pediatric intensive care unit (PICU) settings. This "CDR Implementation Trial" across eight PICU sites will assess the CDR's actual impact on AHT screening accuracy, identify factors associated with maximal physician acceptance and application of this novel AHT screening tool, and assess the sustainability of active CDR implementation strategies.
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The Number of Higher Risk Patients Evaluated Thoroughly for Abuse at Intervention vs. Control Sites
Timeframe: To be measured 32 months after the start of the clinical trial
The Number of Lower Risk Patients Evaluated Even Partially for Abuse at Intervention vs. Control Sites
Timeframe: To be measured 32 months after the start of the clinical trial
Estimated Rates (Percentages) of Missed AHT at Intervention vs. Control Sites
Timeframe: To be measured 32 months after the start of the clinical trial