Brief Resolved Unexplained Events: Quality Improvement Resources and Tools

Brief Resolved Unexplained Events (BRUEs): Quality Improvement Resources & Tools

​Clinical Practice Guideline

Clinical Practice Guideline for Brief Resolved Unexplained Events (Formerly Apparent Life-Threatening Events) and Evaluation of Lower-Risk Infants (Published May 2016)

Patient/Family Resources

Healthy Children: New Term for Brief, Unexplained Events in Newborns with No Underlying Health Problems or Risk for Sudden Infant Death – Brief overview on the AAP’s guideline on brief resolved unexplained event, or BRUE (English).

Healthy Children: New Term for Brief, Unexplained Events in Newborns with No Underlying Health Problems or Risk for Sudden Infant Death – Brief overview on the AAP’s guideline on brief resolved unexplained event, or BRUE (Spanish).

Pediatric Patient Education: Brief Unexplained Events: What Parents and Caregivers Need to Know – Covers what a brief resolved unexplained event is and addresses frequently asked questions after such an event occurs (English).

Pediatric Patient Education: Brief Unexplained Events: What Parents and Caregivers Need to Know – Covers what a brief resolved unexplained event is and addresses frequently asked questions after such an event occurs (Spanish).

Provider Resources

Pediatric Care Online: Brief Resolved Unexplained Events (Webinar) – Learn historical framework and epidemiology, ALTE vs. BRUE terminology, event characterization, risk stratification, new recommendations, and tools to implement practice change.

Pediatrics in Review Article: SIDS, BRUE, and Safe Sleep Guidelines

Implementation Tools

Brief Resolved Unexplained Events (BRUE) Quality Improvement (QI) Metrics – Measurable outcomes that are typically based on key action statements. This resource consists of inclusion/exclusion criteria, overall aim/goal, and descriptions of the numerators/denominators needed to calculate the metric.

Brief Resolved Unexplained Events (BRUE) Key Driver Diagram – This resource serves as a map or guide to quality improvement. Aims are usually identified with key drivers serving as the “what” you need to do and the secondary drivers or implementation tools/resources serving as the “how” you will achieve the desired change.

Brief Resolved Unexplained Events (BRUE) Chart Review Tool – Designed for emergency departments, outpatient clinics, and private offices interested in conducting/completing a retrospective chart review.

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Listing of resources does not imply an endorsement by the American Academy of Pediatrics (AAP). The AAP is not responsible for the content of external resources.​