儿童医院环境中的枪支安全查:质量改善倡议
Elizabeth R Oddo1, Neha Kumar2, Annie L Andrews1
1From the Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.
Pediatric quality & safety
|October 2, 2023
概括
实施电子健康记录工具显著增加了儿科患者的枪支安全查,从0.01%增加到39%. 这凸显了住院治疗是儿科提供者解决枪支安全问题和预防伤害的关键机会.
科学领域:
- 儿科医学 儿科医学
- 公共卫生 公共卫生
- 伤害预防 预防伤害
背景情况:
- 枪支伤害是美国年轻人死亡和残疾的主要原因.
- 安全的枪支存储已被证明可以保护儿童,但查率仍然很低.
- 儿童医疗服务提供者,尤其是医院的医生,不充分利用枪支安全检查.
研究的目的:
- 增强儿童医院医疗服务中入院患者的枪支安全查频率.
- 实施和评估旨在增加住院儿科环境中枪支安全查的干预措施.
主要方法:
- 电子健康记录 (EHR) 工具被整合到历史记录和物理笔记模板中.
- 干预措施包括护理教育,电子邮件提醒和居民对枪支暴力的培训.
- 通过图表审查和居民调查收集数据,以评估查率和障碍.
主要成果:
- 在25个月内,住院枪支安全查率从0.01%上升到39%.
- 在最初的EHR干预后不久,观察到显著的增加.
- 居民发现的持续障碍包括时间限制和查的适当性.
结论:
- 一个EHR集成的方法有效地改善了儿童医院的枪支安全查.
- 住院治疗为儿科提供者提供了一个关键的窗口,以进行枪支安全查和咨询.
- 授权住院医疗服务提供者对枪支安全进行查对于预防伤害至关重要.
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