@article{ref1,
title="Improving the frequency and documentation of gun safety counseling in a resident primary care clinic",
journal="Academic pediatrics",
year="2020",
author="Gastineau, Kelsey Ab and Stegall, Cassandra L. and Lowrey, Laura K. and Giourgas, Barbra K. and Andrews, Annie Lintzenich",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Increase the frequency and documentation gun safety discussions during well-child checks in the Pediatric Primary Care resident clinic to 50% within 6 months.   METHODS: 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 EHR templates. Chart reviews were conducted to determine frequency of gun safety discussion. Resident self-reported comfort with gun safety counseling was also evaluated.   RESULTS: 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 EHR prompt, with the mean further increased to 84% in July 2019. A sustained rate of over 75% was achieved through February 2019. Over four 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 as a key intervention increasing gun safety counseling.   CONCLUSIONS: Our study identified an effective approach to documentation of gun safety discussions in an academic primary care setting, providing a unique blueprint for firearm screening and safe storage counseling success. Ultimately, we believe this will increase safe storage behaviors in the home and reduce risks of child death from firearms.<p /> <p>Language: en</p>",
language="en",
issn="1876-2859",
doi="10.1016/j.acap.2020.07.013",
url="http://dx.doi.org/10.1016/j.acap.2020.07.013"
}