Outcomes
Primary and secondary outcomes were identified for each practice by the
project steering committee on consultation with the literature
(Supplemental Digital File 2). Primary outcomes included missed injuries
(e.g. fracture or luxation/subluxation), complications (e.g.
neurological deficits, fracture mal-union or non-union), change in
clinical management (e.g. surgery, change in immobilization status), and
functional recovery measured with validated tools. Secondary outcomes
included pain, quality of life measured using validated tools,
healthcare service utilization, and return to work.