Implementation and initial analysis of Cardiff Model data collection procedures in a level I trauma adult emergency department.
Implementation and initial analysis of Cardiff Model data collection procedures in a level I trauma adult emergency department.
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一级创伤成人急诊科卡迪夫模型数据收集程序的实施和初步分析。
DOI：
10.1136/bmjopen-2021-052344
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发表时间：
2022-01-06
期刊：
影响因子：
2.9
通讯作者：
Hernandez-Meier J
中科院分区：
文献类型：
--
作者：
Nguyen P;Kohlbeck SA;Levas M;Hernandez-Meier J
我们对社区暴力的理解受到信息不完整的限制，这可以通过卫生保健系统收集与先前数据流相关的暴力相关伤害信息来解决。本研究评估了在急诊科（ED）设置中实施Cardiff模型数据收集程序的可行性，以提高多系统数据共享能力并创建更具代表性的数据集。信息收集字段被纳入急诊科电子健康记录（EHR），从报告攻击性伤害的患者那里收集额外信息。对急诊科护士进行调查，以评估信息收集的实施情况和可行性。进行逻辑回归以确定缺失的位置信息与患者人口统计数据之间的关联。在中西部一个大城市有60张床位的一级创伤成人急诊科。2017年至2020年期间，2648名患者的攻击伤筛查呈阳性。198名患者因年龄超出该急诊科服务范围而被遗漏。未选择的150名急诊科护士被调查。主要结果包括护理人员调查反应和ORs，以提供不同患者人口统计数据的完整损伤信息。大多数急诊科护士认为信息收集符合医院的使命（92%），希望信息收集继续（88%），不认为信息收集影响他们的工作流程（88%），并报告在1分钟内筛选和记录暴力信息（77%）。825例（31.2%）患者提供了足够的地理空间制图信息。提供完整位置信息的可能性与患者性别、种族、到达方式、陪伴、创伤类型和年份显著相关。在成人急诊科设置中，通过电子病历执行基于位置的攻击相关伤害的信息收集程序是可行的。护士报告说他们乐于收集信息。分析表明，患者水平和时间变量影响信息收集的完整性。所收集的地理空间信息可以极大地改善现有的执法和紧急医疗系统数据集。
Our understanding of community violence is limited by incomplete information, which can potentially be resolved by collecting violence-related injury information through healthcare systems in tandem with prior data streams. This study assessed the feasibility of implementing Cardiff Model data collection procedures in the emergency department (ED) setting to improve multisystem data sharing capabilities and create more representative datasets. Information collection fields were incorporated into the ED electronic health record (EHR), which gathered additional information from patients reporting assaultive injuries. ED nurses were surveyed to evaluate implementation and feasibility of information collection. Logistic regression was performed to determine associations between missing location information and patient demographic data. 60-bed academic level I trauma adult ED in a large Midwestern city. 2648 patients screened positive for assault injuries between 2017 and 2020. 198 patients were omitted due to age outside the range served by this ED. Unselected inclusion of 150 ED nurses was surveyed. Main outcomes include nursing staff survey responses and ORs for providing complete injury information across various patient demographics. Most ED nurses believed that information collection aligned with the hospital’s mission (92%), wanted information collection to continue (88%), did not believe that information collection impacted their workflow (88%), and reported taking under 1 min to screen and document violence information (77%). 825 patients (31.2%) provided sufficient information for geospatial mapping. Likelihood of providing complete location information was significantly associated with patient gender, race, arrival means, accompaniment, trauma type and year. It is feasible to implement information collection procedures about location-based, assault-related injuries through the EHR in the adult ED setting. Nurses reported being receptive to collecting information. Analyses suggest patient-level and time variables impact information collection completeness. The geospatial information collected can greatly improve preexisting law enforcement and emergency medical systems datasets.
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DOI：
10.1080/17457300.2018.1467461
发表时间：
2018-01-01
影响因子：
2.3
作者：
Bowen, Daniel A.;Mercer Kollar, Laura M.;Sumner, Steven A.
通讯作者：
Sumner, Steven A.
影响因子：
105.7
作者：
Florence, Curtis;Shepherd, Jonathan;Simon, Thomas
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Simon, Thomas
影响因子：
6.3
作者：
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Bellis, Mark A.
DOI：
10.1111/j.1753-6405.2008.00232.x
发表时间：
2008-06-01
影响因子：
3.5
作者：
Aitken, Campbell;Power, Robert;Dwyer, Robyn
通讯作者：
Dwyer, Robyn
影响因子：
5.5
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Bowen, Deborah J.;Kreuter, Matthew;Spring, Bonnie;Cofta-Woerpel, Ludmila;Linnan, Laura;Weiner, Diane;Bakken, Suzanne;Kaplan, Cecilia Patrick;Squiers, Linda;Fabrizio, Cecilia;Fernandez, Maria
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