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  1. Shortcomings in psychosocial history taking in a paediatric emergency department.

    Article - En anglais

    Objective 

    To assess the quality of documentation of the psychosocial history taken from parents who repeatedly bring their infants and young children to an emergency department.

    Methodology 

    We prepared a list of 26 psychosocial items, indicated by the literature to be important elements of a history taken in this setting.

    We then reviewed subjects'casenotes, and compared each history to this ideal list.

    Participants/Setting 

    Case note review of 104 children under 2 years who had presented to a paediatric emergency department at least five times in 1 year.

    Results 

    Documentation of psychosocial history for these subjects was very poor, with a mean of only 5 of the 26 possible psychosocial items mentioned per set of casenotes.

    The majority of records lacked important information, including basic demographic data.

    Conclusions 

    We canvass possible reasons for poor psychosocial history taking, and argue for changes in medical education, the development of techniques to efficiently identify at risk children and families, and improved resources for referral.

    Mots-clés Pascal : Conseil psychologique, Corrélation, Urgence, Facteur qualité, Documentation, Conduite à tenir, Relation parent enfant, Australie, Océanie, Psychologie, Organisation santé

    Mots-clés Pascal anglais : Psychological counseling, Correlation, Emergency, Q factor, Documentation, Clinical management, Parent child relation, Australia, Oceania, Psychology, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0237541

    Code Inist : 002B18B04. Création : 11/09/1998.