改善识别精神健康投诉的儿童获得枪支的机会
Neil G Uspal1, Julia Nichols2, Bonnie Strelitz3
1Division of Emergency Medicine, Department of Pediatrics.
Hospital pediatrics
|April 4, 2024
概括
电子医疗记录 (EMR) 的变化和枪支研究改善了儿童向儿科急诊部 (PED) 提交的儿童的枪支暴露和不安全的储存实践的识别. 然而,在拥有枪支的家庭中,不安全的储存仍未得到充分识别.
科学领域:
- 儿科急救医学 儿科急救医学
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 枪支暴露是儿童受伤和死亡的重要风险因素.
- 识别患有心理健康问题的儿童的枪支暴露和储存实践对于干预至关重要.
- 电子医疗记录 (EMR) 系统和有针对性的研究可以影响临床文档.
研究的目的:
- 评估EMR修改和枪支存储研究对儿童急诊部 (PED) 心理健康患者识别枪支暴露的影响.
- 评估收集的有关枪支储存实践的数据的准确性.
- 确定干预措施是否改善了枪支暴露和不安全存储的文档.
主要方法:
- 从2015年1月到2017年11月,对5582名患者在PED中遭遇的回顾性分析.
- 在EMR变更 (2016年1月) 和研究实施 (2016年2月) 之前和之后检查了枪支暴露和不安全储存实践的EMR文档.
- 利用描述性统计,千二测试和统计过程控制来分析结果的变化.
主要成果:
- 在干预后,枪支暴露的识别从11%增加到17%.
- 在所有遭遇中,不安全的枪支存储实践的记录从1.9%上升到4.4%.
- 干预后,不安全的存储在临床数据中未被确定 (39%) 与研究数据 (75%) 相比,对于拥有枪支的家庭.
结论:
- 电子枪支记录的变化和专门的研究显著改善了对有心理健康问题的儿童的枪支暴露和不安全的储存实践的识别.
- 尽管有所改善,但在拥有枪支的家庭中,在识别不安全的枪支存储实践方面仍然存在差距.
- 需要进一步的策略来加强在临床环境中准确记录枪支安全情况.
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