ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2012
A simple approach to improve recording of concerns about child maltreatment in primary care records: developing a quality improvement intervention.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 49 citations in OpenAlex.
- Increasing the psychosocial focus in child developmental assessments: a qualitative study.BMC pediatrics · 2023Trial
- Effects of a computerised guideline support tool on child healthcare professionals' response to suspicions of child abuse and neglect: a community-based intervention trial.BMC medical informatics and decision making · 2019Trial
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- 'There's a will, but not a way': Norwegian GPs' experiences of collaboration with child welfare services - a grounded theory study.BMC primary care · 2024Article
- An external validation of coding for childhood maltreatment in routinely collected primary and secondary care data.Scientific reports · 2023Article
- Review
- Review
- Toward the Development of Data Governance Standards for Using Clinical Free-Text Data in Health Research: Position Paper.Journal of medical Internet research · 2020Article
- Sharing reports about domestic violence and abuse with general practitioners: a qualitative interview study.BMC family practice · 2020Article
- An analysis of childhood consultations in general practice: a multi-practice study.Irish journal of medical science · 2019Article
- Juggling confidentiality and safety: a qualitative study of how general practice clinicians document domestic violence in families with children.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Notifications for child safeguarding from an acute hospital in response to presentations to healthcare by parents.Child: care, health and development · 2015Article
- Facing suspected child abuse--what keeps Swedish general practitioners from reporting to child protective services?Scandinavian journal of primary health care · 2015Article
- Child maltreatment: time to rethink the role of general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- A simple clinical coding strategy to improve recording of child maltreatment concerns: an audit study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- The benefits of multidisciplinary safeguarding meetings.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- Article
- Responses to concerns about child maltreatment: a qualitative study of GPs in England.BMJ open · 2013Article
- Improving the management of people with a family history of breast cancer in primary care: before and after study of audit-based education.BMC family practice · 2013Article
- Using mixed methods in health research.JRSM short reports · 2013Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundInformation is lacking on how concerns about child maltreatment are recorded in primary care records.
aimTo determine how the recording of child maltreatment concerns can be improved. DESIGN AND
settingDevelopment of a quality improvement intervention involving: clinical audit, a descriptive survey, telephone interviews, a workshop, database analyses, and consensus development in UK general practice.
methodDescriptive analyses and incidence estimates were carried out based on 11 study practices and 442 practices in The Health Improvement Network (THIN). Telephone interviews, a workshop, and a consensus development meeting were conducted with lead GPs from 11 study practices.
resultsThe rate of children with at least one maltreatment-related code was 8.4/1000 child years (11 study practices, 2009-2010), and 8.0/1000 child years (THIN, 2009-2010). Of 25 patients with known maltreatment, six had no maltreatment-related codes recorded, but all had relevant free text, scanned documents, or codes. When stating their reasons for undercoding maltreatment concerns, GPs cited damage to the patient relationship, uncertainty about which codes to use, and having concerns about recording information on other family members in the child's records. Consensus recommendations are to record the code 'child is cause for concern' as a red flag whenever maltreatment is considered, and to use a list of codes arranged around four clinical concepts, with an option for a templated short data entry form.
conclusionGPs under-record maltreatment-related concerns in children's electronic medical records. As failure to use codes makes it impossible to search or audit these cases, an approach designed to be simple and feasible to implement in UK general practice was recommended.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.