Increasing emergency physician recognition of domestic violence.
To determine whether recognition of domestic violence in the emergency department is affected by restructuring of the ED chart to include a specific question about domestic violence, to evaluate whether training concerning domestic violence further increases its recognition, and to develop a profile of women who present to the ED as a result of domestic violence.
We collected prospective data on all females aged 15 to 70 years who presented to an urban Level I trauma center during a 3-month period.
Two keywords were used to define domestic violence : (1) mechanism (eg, kicked, hit, pushed) and (2) perpetrator (eg, current/former boyfriend, spouse).
We used the first month to define the baseline number of domestic violence cases.
We modified charts in the second and third months (intervention months) to include, « Is the patient a victim of domestic violence ? » In addition, the third month included a 1-hour educational lecture on the identification of domestic violence in the ED.
We identified 123 cases of domestic violence from a survey population of 4,073 : 25 (2.0%) in the baseline month, 49 (3.4%) in the chart-modification month, and 49 (3.6%) in the education month.
The proportion of cases identified during the intervention months was 1.8 times higher than during the control month (relative risk [RR], 1.78 ; 95% confidence interval [CI], 1.15 to 2.75), but did not differ between each other (RR, 1.06 ; 95% CI, 72 to 1.57). (...)
Mots-clés Pascal : Violence, Milieu familial, Augmentation, Urgence, Service hospitalier, Diagnostic, Médecin, Relation médecin malade, Prévalence, Epidémiologie, Attitude, Homme, Femelle, Violence domestique
Mots-clés Pascal anglais : Violence, Family environment, Increase, Emergency, Hospital ward, Diagnosis, Physician, Physician patient relation, Prevalence, Epidemiology, Attitude, Human, Female
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0308849
Code Inist : 002B30A03B. Création : 10/04/1997.