Evidence map›Paper›PMID 31115655›Full record

ArticlePediatric surgery international2019

Every child, every time: hospital-wide child abuse screening increases awareness and state reporting.

Lauren Dudas, Gwenda Petrohoy, Debra Esernio-Jenssen, Cheryl Lansenderfer, Joseph Stirparo, Michele Dunstan, Marybeth Browne

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Article in Pediatric surgery international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lauren DudasDivision of General and Trauma Surgery, Department of Surgery, Lehigh Valley Health Network, Allentown, PA, 18103, USA.
Gwenda PetrohoyDivision of General and Trauma Surgery, Department of Surgery, Lehigh Valley Health Network, Allentown, PA, 18103, USA.
Debra Esernio-JenssenDepartment of Pediatrics, Section of Child Protection Medicine, Lehigh Valley Reilly Children's Hospital, Lehigh Valley Health Network, Allentown, PA, 18103, USA.
Cheryl LansenderferDivision of General and Trauma Surgery, Department of Surgery, Lehigh Valley Health Network, Allentown, PA, 18103, USA.
Joseph StirparoDivision of General and Trauma Surgery, Department of Surgery, Lehigh Valley Health Network, Allentown, PA, 18103, USA.
Michele DunstanDivision of General and Trauma Surgery, Department of Surgery, Lehigh Valley Health Network, Allentown, PA, 18103, USA.
Marybeth BrowneDivision of Pediatric Surgical Specialties, Department of Surgery, Lehigh Valley Reilly Children's Hospital, Lehigh Valley Health Network, 1210 S Cedar Crest Blvd, Suite 1100, Allentown, PA, 18103, USA. Marybeth.Browne@lvhn.org.ORCID http://orcid.org/0000-0003-3625-5171

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA review of our child abuse evaluation system demonstrated a lack of standardization leading to low reporting levels. The purpose of this quality improvement initiative was to develop a standard child abuse screening tool; an education program increasing awareness to child abuse; and to measure the impact of the screening tool in reporting.

methodsA screening tool was developed and implemented for all trauma patients < 15 years of age; staff was educated; and a child protection team (CPT) was established. Within 9 months, screening was extended to all patients admitted to the children's hospital. Screening compliance, number of child abuse reporting forms (CY-47) filed, and consultations to the CPT were monitored.

resultsInitially, there was an average screening compliance of 56%. After making the program hospital-wide, the compliance rate increased to an average of 96%; and the average number of CPT consults increased from 2 to 10 per month. Over this study period, the average number of CY-47s filed increased from 6.1 to 7.3 per month.

conclusionsHospital-wide use of an objective screening tool, frequent re-education, and the support of an experienced child protection team led to improved child abuse screening compliance and more consistent suspected-abuse reporting rates.

Indexed as

Quality ImprovementRegistriesAdolescentChildChild AbuseChild, PreschoolFemaleHospitals, PediatricHumansIncidenceInfantInfant, NewbornMaleMass ScreeningUnited StatesWounds and InjuriesChild abuseNon-accidental trauma (NAT)Quality improvementUniversal screening

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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.