Sustaining the gains: Reducing unnecessary computed tomography scans in pediatric trauma patients

•What is known about this topic? CT imaging in children can cause radiation-induced malignancies later in life. Guidelines can assist providers in determining imaging indicated for injured children.•What new information is contained in this article? Quality improvement and implementation science methodologies enhance guideline implementation efforts. Prospectively tracking adherence and iterative process improvement efforts can sustain and further improve guideline compliance over time.