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Intimate partner violence and emergency department screening: computerized screening versus usual care.
Ann Emerg Med. 2007 Apr; 49(4):526-34.AE

Abstract

STUDY OBJECTIVE

To compare a computer-based method of screening for intimate partner violence (intimate partner violence) with usual care in an emergency department (ED) setting.

METHODS

During 3 distinct but consecutive 2-week periods, women who presented to the ED were asked to complete a computer-based health survey with or without intimate partner violence screening questions in addition to receiving usual intimate partner violence care (ie, screened voluntarily by ED providers and documented in medical record). The screening, detection, referral and service rates were compared between women who completed the computer-based health survey with the intimate partner violence screening questions to usual care.

RESULTS

Of the 411 women who completed the computer-based health survey with the intimate partner violence questions, 99.8% were screened for intimate partner violence compared to 33% of the 594 women who received usual care (67.1% difference; 95% CI 63.3%, 70.9%). The computer-based health survey detected 19% intimate partner violence positive whereas usual care detected 1% (17.8% difference; 95% CI 13.9%, 21.7%). Referral to social work was higher among those screened by the computer-based health survey (10%) versus usual care (<1%) (9.7% difference; 95% CI 6.7%, 12.7%). Only 20 subjects received intimate partner violence services, although it was slightly higher among those screened by the computer-based health survey (4%) compared to usual care (1%) (4.0% difference; 95% CI 2.0%, 6.1%).

CONCLUSION

We found that a computer-based approach led to significantly higher intimate partner violence screening and detection rates compared to usual care. Receipt of intimate partner violence services was also higher than usual care but was not optimal. Computer technology makes routine screening easier and allows us to redirect our energies to addressing patients' intimate partner violence problems.

Authors+Show Affiliations

Trautman DE
Department of Emergency Medicine, Johns Hopkins Hospital, Baltimore, MD, USA. dtrautma@jhmi.edu
McCarthy ML
No affiliation info available
Miller N
No affiliation info available
Campbell JC
No affiliation info available
Kelen GD
No affiliation info available

MeSH

AdultDiagnosis, Computer-AssistedEmergency Service, HospitalFemaleHealth SurveysHumansMaleMass ScreeningMiddle AgedReferral and ConsultationSocioeconomic FactorsSpouse Abuse

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17276547

Citation

Trautman, Deborah E., et al. "Intimate Partner Violence and Emergency Department Screening: Computerized Screening Versus Usual Care." Annals of Emergency Medicine, vol. 49, no. 4, 2007, pp. 526-34.
Trautman DE, McCarthy ML, Miller N, et al. Intimate partner violence and emergency department screening: computerized screening versus usual care. Ann Emerg Med. 2007;49(4):526-34.
Trautman, D. E., McCarthy, M. L., Miller, N., Campbell, J. C., & Kelen, G. D. (2007). Intimate partner violence and emergency department screening: computerized screening versus usual care. Annals of Emergency Medicine, 49(4), 526-34.
Trautman DE, et al. Intimate Partner Violence and Emergency Department Screening: Computerized Screening Versus Usual Care. Ann Emerg Med. 2007;49(4):526-34. PubMed PMID: 17276547.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intimate partner violence and emergency department screening: computerized screening versus usual care. AU - Trautman,Deborah E, AU - McCarthy,Melissa L, AU - Miller,Nancy, AU - Campbell,Jacquelyn C, AU - Kelen,Gabor D, Y1 - 2007/02/05/ PY - 2006/07/25/received PY - 2006/11/07/revised PY - 2006/11/13/accepted PY - 2007/2/6/pubmed PY - 2007/4/12/medline PY - 2007/2/6/entrez SP - 526 EP - 34 JF - Annals of emergency medicine JO - Ann Emerg Med VL - 49 IS - 4 N2 - STUDY OBJECTIVE: To compare a computer-based method of screening for intimate partner violence (intimate partner violence) with usual care in an emergency department (ED) setting. METHODS: During 3 distinct but consecutive 2-week periods, women who presented to the ED were asked to complete a computer-based health survey with or without intimate partner violence screening questions in addition to receiving usual intimate partner violence care (ie, screened voluntarily by ED providers and documented in medical record). The screening, detection, referral and service rates were compared between women who completed the computer-based health survey with the intimate partner violence screening questions to usual care. RESULTS: Of the 411 women who completed the computer-based health survey with the intimate partner violence questions, 99.8% were screened for intimate partner violence compared to 33% of the 594 women who received usual care (67.1% difference; 95% CI 63.3%, 70.9%). The computer-based health survey detected 19% intimate partner violence positive whereas usual care detected 1% (17.8% difference; 95% CI 13.9%, 21.7%). Referral to social work was higher among those screened by the computer-based health survey (10%) versus usual care (<1%) (9.7% difference; 95% CI 6.7%, 12.7%). Only 20 subjects received intimate partner violence services, although it was slightly higher among those screened by the computer-based health survey (4%) compared to usual care (1%) (4.0% difference; 95% CI 2.0%, 6.1%). CONCLUSION: We found that a computer-based approach led to significantly higher intimate partner violence screening and detection rates compared to usual care. Receipt of intimate partner violence services was also higher than usual care but was not optimal. Computer technology makes routine screening easier and allows us to redirect our energies to addressing patients' intimate partner violence problems. SN - 1097-6760 UR - https://www.unboundmedicine.com/medline/citation/17276547/Intimate_partner_violence_and_emergency_department_screening:_computerized_screening_versus_usual_care_ DB - PRIME DP - Unbound Medicine ER -