ArticleJournal of the American Medical Informatics Association : JAMIA2018
Development of an electronic medical record-based child physical abuse alert system.
Article in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- National guideline for the field triage of injured patients: Recommendations of the National Expert Panel on Field Triage, 2021.The journal of trauma and acute care surgery · 2022Guideline
- Identifying children exposed to maltreatment: a systematic review update.BMC pediatrics · 2020Pooled it
- Integration of physical abuse clinical decision support into the electronic health record at a Tertiary Care Children's Hospital.Journal of the American Medical Informatics Association : JAMIA · 2018Trial
- Improving clinician knowledge, comfort, and adherence to standard of care for suspected child abuse.BMC pediatrics · 2026Article
- Promoting Health Equity for Children With Special Health Care Needs and Child Welfare Involvement.Hospital pediatrics · 2025Article
- Medicaid claims alone have high sensitivity but low specificity in identifying child abuse and neglect.Frontiers in pediatrics · 2025Article
- Developing and Testing the Usability of a Novel Child Abuse Clinical Decision Support System: Mixed Methods Study.Journal of medical Internet research · 2024Article
- SCAN for Abuse: Electronic Health Record-Based Universal Child Abuse Screening.Journal of pediatric surgery · 2024Article
- Disseminating child abuse clinical decision support among commercial electronic health records: Effects on clinical practice.JAMIA open · 2023Article
- The Effect of Implementation of Guideline Order Bundles Into a General Admission Order Set on Clinical Practice Guideline Adoption: Quasi-Experimental Study.JMIR medical informatics · 2023Article
- Black and Latinx Primary Caregiver Considerations for Developing and Implementing a Machine Learning-Based Model for Detecting Child Abuse and Neglect With Implications for Racial Bias Reduction: Qualitative Interview Study With Primary Caregivers.JMIR formative research · 2023Article
- Development and Validation of a Natural Language Processing Tool to Identify Injuries in Infants Associated With Abuse.Academic pediatrics · 2022Article
- Electronic Health Record Tools to Identify Child Maltreatment: Scoping Literature Review and Key Informant Interviews.Academic pediatrics · 2022Article
- Safeguarding alerts on electronic medical records.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Developing machine learning-based models to help identify child abuse and neglect: key ethical challenges and recommended solutions.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Considerations for development of child abuse and neglect phenotype with implications for reduction of racial bias: a qualitative study.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- The influence of integrating clinical practice guideline order bundles into a general admission order set on guideline adoption.JAMIA open · 2021Article
- Dissemination of child abuse clinical decision support: Moving beyond a single electronic health record.International journal of medical informatics · 2021Article
- Integration of physical abuse clinical decision support at 2 general emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- A Platform to Record Patient Events During Physiological Monitoring With Wearable Sensors: Proof-of-Concept Study.Interactive journal of medical research · 2019Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Physical abuse is a leading cause of pediatric morbidity and mortality. Physicians do not consistently screen for abuse, even in high-risk situations. Alerts in the electronic medical record may help improve screening rates, resulting in early identification and improved outcomes. Methods: Triggers to identify children < 2 years old at risk for physical abuse were coded into the electronic medical record at a freestanding pediatric hospital with a level 1 trauma center. The system was run in "silent mode"; physicians were unaware of the system, but study personnel received data on children who triggered the alert system. Sensitivity, specificity, and negative and positive predictive values of the child abuse alert system for identifying physical abuse were calculated. Results: Thirty age-specific triggers were embedded into the electronic medical record. From October 21, 2014, through April 6, 2015, the system was in silent mode. All 226 children who triggered the alert system were considered subjects. Mean (SD) age was 9.1 (6.5) months. All triggers were activated at least once. Sensitivity was 96.8% (95% CI, 92.4-100.0%), specificity was 98.5% (95% CI, 98.3.5-98.7), and positive and negative predictive values were 26.5% (95% CI, 21.2-32.8%) and 99.9% (95% CI, 99.9-100.0%), respectively, for identifying children < 2 years old with possible, probable, or definite physical abuse. Discussion/Conclusion: Triggers embedded into the electronic medical record can identify young children with who need to be evaluated for physical abuse with high sensitivity and specificity.
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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.