Implementation of routine electronic health record-based child abuse screening in General Emergency Departments

Child Abuse & Neglect
Juliet Rumball-SmithRachel P Berger

Abstract

Routine child abuse screening is an approach to early identification of abuse. Previous studies evaluated paper-based screens; the widespread use of electronic health records suggests that screening is more likely to succeed if integrated into the electronic record. To implement an electronic health record-based child abuse screen in a diverse hospital system and to evaluate the screening rate, rate of positive screens, and number of reports to Child Protective Services and assess whether hospital and patient characteristics are associated with these rates. Children <13 years of age evaluated at one of 13 Emergency Departments within University of Pittsburgh Medical Center Health System. A previously validated child abuse screen was slightly modified and integrated into Cerner. Multivariable logistic regression models were used to estimate the odds of the outcomes of interest, controlling for key covariates. Of 17,163 eligible children: 68% received the screen of which 1.9% were positive. The rate of reports to Child Protective Services was higher among children who were screened (p < 0.0001). Younger children were more likely to be screened, have a positive screen, and have a report filed. There was no difference in the odds o...Continue Reading

Citations

Nov 22, 2019·BMJ Quality & Safety·Bharti KhuranaGiles W Boland
Nov 21, 2019·Pediatric Quality & Safety·Jonathan D ThackerayRachel P Berger
May 30, 2019·Child Maltreatment·Conrad KrawiecBenjamin Levi
Jun 15, 2019·Journal of the American Medical Informatics Association : JAMIA·Bruce RosenthalRachel P Berger
Dec 29, 2020·International Journal of Medical Informatics·Thomas McGinnRachel P Berger
Dec 24, 2020·Child Maltreatment·Christina M RodriguezDoris F Pu
Aug 18, 2021·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·G NeggiaF Dubos
Aug 25, 2021·Pediatrics·Jennifer HansenJames Anderst
Mar 4, 2021·Pediatrics·Caitlin E CrummKenneth W Feldman
Jun 6, 2021·Pediatrics·Vincent J Palusci, Ann S Botash
Dec 21, 2021·The Journal of Pediatrics·Srinivasan SureshRachel Berger
Jan 21, 2022·The Journal of Nursing Research : JNR·Chia-Jung ChenJui-Ying Feng

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