Detection of non-accidental injuries presenting at emergency departments

Detection of non-accidental injuries presenting at emergency departments
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DOI:
10.1136/emj.2003.008607
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发表时间:
2004-09-01
影响因子:
3.1
通讯作者:
Hickey, F
Hickey, F
中科院分区:
医学3区
文献类型:
--
作者:
McKinney, A;Lane, G;Hickey, F

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目的:调查使用五项风险指标确定的可能非意外伤害案例是否会引起虐待儿童的主观担忧。方法:由分诊护士和主治医生对六个月内到西北卫生局综合医院就诊的每名受伤儿童填写问卷。调查问卷包括对伤害发生的主观担忧和虐待儿童的五项风险指标的评估。结果:有两项或以上阳性指标的受伤儿童未能引起急诊科工作人员的主观担忧。结论:引入从五项虐待儿童风险指标中识别积极指标的政策需要急诊科内额外的计算机支持。
Objectives: To investigate whether cases of possible non-accidental injury as identified using five risk indicators give rise to any subjective concerns of child abuse.Methods: Questionnaires were completed by the triage nurse and attending doctor for every child attending the general hospitals of the North Western Health Board, with an injury, during a six month period. The questionnaires included an assessment of subjective concerns about the injury occurrence and five risk indicators of child abuse.Results: Children presenting with an injury who had two or more positive indicators failed to raise subjective concerns in the attending emergency department staff.Conclusions: The introduction of a policy of identifying positive indicators from the five risk indicators of child abuse needs additional computer support within emergency departments.