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American Journal of Public Health, Vol 90, Issue 9 1444-1448, Copyright © 2000 by American Public Health Association

JOURNAL ARTICLE

Effect of an administrative intervention on rates of screening for domestic violence in an urban emergency department

GL Larkin, S Rolniak, KB Hyman, BA MacLeod and R Savage
Department of Emergency Medicine, Mercy Hospital of Pittsburgh, Pa., USA. glarkin+@pitt.edu

OBJECTIVES: This study measured the effects of an administrative intervention on health care provider compliance with universal domestic violence screening protocols. METHODS: We used a simple, interrupted-time-series design in a stratified random sample of female emergency department patients 18 years or older (n = 1638 preintervention, n = 1617 postintervention). The intervention was a 4-tiered hospital-approved disciplinary action, and the primary outcome was screening compliance. RESULTS: Preintervention and postintervention screening rates were 29.5% and 72.8%, respectively. Before the intervention, screening was worse on the night shift (odds ratio [OR] = 0.46, 95% confidence interval [CI] = 0.31, 0.68) and with psychiatric patients (OR = 0.34, 95% CI = 0.14, 0.85); after the intervention, no previous screening barriers remained significant. CONCLUSIONS: An administrative intervention significantly enhanced compliance with universal domestic violence screening.


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