@article{ref1,
title="Every child, every time: hospital-wide child abuse screening increases awareness and state reporting",
journal="Pediatric surgery international",
year="2019",
author="Dudas, Lauren and Petrohoy, Gwenda and Esernio-Jenssen, Debra and Lansenderfer, Cheryl and Stirparo, Joseph and Dunstan, Michele and Browne, Marybeth",
volume="35",
number="7",
pages="773-778",
abstract="PURPOSE: A review of our child abuse evaluation system demonstrated a lack of standardization leading to low reporting levels. The purpose of this quality improvement initiative was to develop a standard child abuse screening tool; an education program increasing awareness to child abuse; and to measure the impact of the screening tool in reporting. <br><br>METHODS: A screening tool was developed and implemented for all trauma patients < 15 years of age; staff was educated; and a child protection team (CPT) was established. Within 9 months, screening was extended to all patients admitted to the children's hospital. Screening compliance, number of child abuse reporting forms (CY-47) filed, and consultations to the CPT were monitored. <br><br>RESULTS: Initially, there was an average screening compliance of 56%. After making the program hospital-wide, the compliance rate increased to an average of 96%; and the average number of CPT consults increased from 2 to 10 per month. Over this study period, the average number of CY-47s filed increased from 6.1 to 7.3 per month. <br><br>CONCLUSIONS: Hospital-wide use of an objective screening tool, frequent re-education, and the support of an experienced child protection team led to improved child abuse screening compliance and more consistent suspected-abuse reporting rates.<p /> <p>Language: en</p>",
language="en",
issn="0179-0358",
doi="10.1007/s00383-019-04485-2",
url="http://dx.doi.org/10.1007/s00383-019-04485-2"
}