Open AccessOutcome evaluation of an emergency department protocol of care on partner abuse
Author(s) -
Fanslow Janet L.,
Norton Robyn N.,
Robinson Elizabeth M.,
Spinola Carla G.
Publication year - 1998
Publication title -
australian and new zealand journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.946
H-Index - 76
eISSN - 1753-6405
pISSN - 1326-0200
DOI - 10.1111/j.1467-842x.1998.tb01445.x
Subject(s) - medicine , emergency department , psychological intervention , intervention (counseling) , documentation , logistic regression , medical record , protocol (science) , acute care , poison control , emergency medicine , medical emergency , family medicine , psychiatry , alternative medicine , health care , pathology , computer science , economics , programming language , economic growth
Study objective: To evaluate the impact of a protocol on partner abuse (PA) at increasing identification and improving acute management of abused women by emergency department (ED) staff. Methods: A community intervention trial compared two public hospital EDs at baseline and following implementation of a PA intervention. The intervention involved training staff at one ED in a protocol for the identification and acute management of abused women. Outcomes were assessed by reviewing a random sample of women's medical records. Identification of PA was assessed for each record on a yes/no basis. Identified cases were classified as ‘confirmed’ or ‘suspected’ PA. Acute management was assessed by ascertaining staff documentation of abuse and use of interventions. Results: Approximately equal numbers of records were reviewed at each ED, pre and post implementation (total n=8,051). Eighty‐nine per cent of ED staff were trained. No difference in the overall identification of PA was found (χ 2 =0.13, p=0.72), but logistic regression analyses showed other significant changes. At the intervention site, there was an increase in confirmed cases of PA (χ 2 =7.6, p=0.006), a trend towards increased documentation (χ 2 =3.5, ?=0.06) and a significant increase in interventions offered (χ 2 =13.8, p=0.002). Changes at the comparison site failed to reach significance. Conclusion: Implementation of this protocol resulted in a moderate increase in confirmed cases of abuse and improved the acute management offered to identified victims. The findings reinforce recommendations for widespread implementation of training and protocols to address partner abuse.