Effect of an administrative intervention on rates of screening for domestic violence in an urban emergency department

Abstract

Objectives. This study measured the effects of an administrative intervention on health care provider compliance with universal domestic violence screening protocols.Methods. We used a simple, interrupted-time-series design in a stratified random sample of female emergency department patients 18 years or older (n=1638 preintervention, n=1617 postintervention). The intervention was a 4-tiered hospital-approved disciplinary action, and the primary outcome was screening compliance.Results. Preintervention and postintervention screening rates were 29.5% and 72.8%, respectively. Before the intervention, screening was worse on the night shift (odds ratio [OR] = 0.46, 95% confidence interval [CI]=0.31, 0.68) and with psychiatric patients (OR = 0.34, 95% CI = 0.14, 0.85); after the intervention, no previous screening barriers remained significant.Conclusions. An administrative intervention significantly enhanced compliance with universal domestic violence

A Scoping Review of Current Social Emergency Medicine Research

“…Of the 16 interventional studies, nine (56%) were related to screening, 294 , 296 – 298 , 300 , 303 , 304 , 306 , 308 three (19%) were related to addressing substance use among patients with co-existing IPV, 299 , 302 , 307 and two (13%) were educational interventions for ED staff. 303 , 309 …”

An Intimate Partner Violence informational program in a hospital fracture clinic: a pre-test post-test intervention study

“…A study demonstrating administrative over-sight of IPV screening methods significantly enhanced the compliance of the staff indicates that perhaps a larger, more “active” program within a hospital system may provide stronger organizational support of the initiative. 8 Our study, which relied upon the individual cooperation of the members of a small clinic, thus may not have been optimally effective, as the weight of the institution was not yet behind it. Garnering the support of whole hospital systems and bridging across specialties would represent a similar movement such as the recent move to implement osteoporosis screening programs in fracture clinics, a true success story in the integration of a classically medical problem within the surgical realm.…”