Table 4.

Encountered issues and resolution steps related to automatic detection of neurosurgery in pediatric TBI patients

Encountered Issue	Resolution
Emergent scheduling of cases as generic procedures and not as intracranial	Educate surgery front desk to avoid booking cases using generic procedure codes (Phase 1) Educate Anesthesia providers to manually enable TBI decision support if not automatically triggered (Phase 1) Implement a reference TBI case list that CDS program can refer to include specific patients for decision support (Phase 2)
Unknown age at the time of scheduling the case	CDS decision rules refined into include age up to 20 years to accommodate patients with misidentified age when admitting emergently (Phase 2)
Missing procedure code in	Update CDS with latest procedure codes in the surgery system (Phase 1)
AIMS not operational	Implemented monitoring steps to minimize AIMS downtime (Phase 1)