Improving the Frequency and Documentation of Gun Safety Counseling in a Resident Primary Care Clinic.

Academic Pediatrics
Kelsey A B GastineauAnnie Lintzenich Andrews

Abstract

Increase the frequency and documentation of gun safety discussions during well-child checks in the pediatric primary care resident clinic to 50% within 6 months. This is a quality improvement study in a pediatric resident continuity clinic. Before implementing any interventions, a survey was conducted to understand residents' attitudes and practices regarding gun safety screening and counseling. Interventions included a parent safety survey, Be SMART materials in clinic, and a prompt embedded into Electronic Health Record templates. Chart reviews were conducted to determine frequency of gun safety discussion. Resident self-reported comfort with gun safety counseling was also evaluated. A statistical process control chart was generated to track documentation and found the baseline mean rate of gun safety discussions during well-child checks was 3%. Rates increased following the addition of the Electronic Health Record prompt, with the mean further increased to 84% in July 2019. A sustained rate of over 75% was achieved through February 2020. Over 4 study months, the proportion of trainees reporting feeling very uncomfortable/uncomfortable with gun safety counseling decreased from 22% to 15%. The Be SMART program was identified a...Continue Reading

References

Mar 1, 1997·Archives of Pediatrics & Adolescent Medicine·J H PriceL Oden
Apr 11, 2002·Journal of Developmental and Behavioral Pediatrics : JDBP·Marjorie S Hardy
Jul 30, 2002·Archives of Pediatrics & Adolescent Medicine·Barry S SolomonJanet R Serwint
Jan 2, 2004·Pediatrics·Michael B HimleChristopher A Flessner
Feb 11, 2005·JAMA : the Journal of the American Medical Association·David C GrossmanRichard Harruff
Nov 9, 2005·Archives of Pediatrics & Adolescent Medicine·Paul S CarboneThomas M Ball
May 3, 2006·Archives of Pediatrics & Adolescent Medicine·Frances Baxley, Matthew Miller
Mar 10, 2012·American Journal of Public Health·David C GrossmanWard Jones
Oct 20, 2012·Pediatrics·M Denise DowdUNKNOWN American Academy of Pediatrics
Jul 1, 2015·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Bindu KalesanSandro Galea
May 26, 2017·Hospital Pediatrics·Kavita ParikhMonika Goyal
Jun 7, 2017·JAMA Pediatrics·Frederick P Rivara, Mary D Fan
May 12, 2018·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Deborah AzraelMatthew Miller
Dec 24, 2018·The New England Journal of Medicine·Rebecca M CunninghamPatrick M Carter
Mar 12, 2019·Academic Pediatrics·Caitlin Naureckas LiMichael R Flaherty
Oct 29, 2019·JAMA Pediatrics·Carole H StipelmanElizabeth Smith
Dec 4, 2019·Hospital Pediatrics·Kimberly K MonroeKerry P Mychaliska
Dec 18, 2019·BMJ Quality & Safety·Christine Soong, Kaveh G Shojania

❮ Previous
Next ❯

Citations

Jan 14, 2021·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Sarah C StokesAlana L Beres
Jul 12, 2021·Academic Pediatrics·Caitlin Naureckas LiMichael R Flaherty
Jun 25, 2021·Hospital Pediatrics·Alyssa H SilverKatherine O'Connor

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

American Family Physician
Anupam B Jena, Vinay Prasad
JAMA Pediatrics
Alexandra ByrneLindsay Thompson
American Family Physician
F A Simon
Pediatric Annals
Joseph R Hageman
American Family Physician
C Bryant-Bruce
© 2021 Meta ULC. All rights reserved