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Pediatric Surgery International

, Volume 35, Issue 7, pp 773–778 | Cite as

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 BrowneEmail author
Original Article

Abstract

Purpose

A 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.

Methods

A 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.

Results

Initially, 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.

Conclusions

Hospital-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.

Keywords

Child abuse Universal screening Quality improvement Non-accidental trauma (NAT) 

Notes

Compliance with ethical standards

Research involving human participants and/or animals

This article does not contain any studies with human participants performed by any of the authors.

References

  1. 1.
    Pennsylvania Department of Human Services. Annual Child Abuse Report (2015) http://www.dhs.pa.gov/cs/groups/webcontent/documents/report/c_208256.pdf. Accessed 5 May 2016
  2. 2.
    Escobar MA Jr, Pflugeisen BM, Duralde Y, Morris CJ, Haferbecker D, Amororso PJ, Lemley H, Pohlson EC (2016) Development of a systematic protocol to identify victims of non-accidental trauma. Pediatr Surg Int 32:377–386CrossRefGoogle Scholar
  3. 3.
    Louwers EC, Korfage IJ, Affourtit MJ, Ruige M, van den Elzen AP, de Koning JH, Moll HA (2014) Accuracy of a screening instrument to identify potential child abuse in emergency departments. Child Abuse Negl 38:1275–1281CrossRefGoogle Scholar
  4. 4.
    The Child Protective Services Law (2012) 23 Pa.C.S. § § 6301–6385Google Scholar
  5. 5.
    Louwers EC, Korfage IJ, Affourtit MJ, Scheewe DJ, van de Merwe MH, Vooijs-Moulaert FA, Woltering CM, Jongejan MH, Ruige M, Moll HA (2011) Detection of child abuse in emergency departments: a multicentre study. Arch Dis Child 95:422–425CrossRefGoogle Scholar
  6. 6.
    Benger JR, Pearce AV (2002) Simple intervention to improve detection of child abuse in emergency departments. BMJ 324:780–782CrossRefGoogle Scholar
  7. 7.
    Hoytema van Konijnenburg EM, Teeuw AH, Sieswerda-Hoogendoorn T, Leenders AG, van der Lee JH (2013) Insufficient evidence for the use of a physical examination to detect maltreatment in children without prior suspicion: a systematic review. Syst Rev 2:109–117CrossRefGoogle Scholar
  8. 8.
    Larimer EL, Fallon SC, Westfall J, Frost M, Wesson DE, Naik-Mathuria BJ (2013) The importance of surgeon involvement in the evaluation of non-accidental trauma patients. J Pediatr Surg 48:1357–1362CrossRefGoogle Scholar
  9. 9.
    Bailhache M, Leroy V, Pillet P, Salmi LR (2013) Is early detection of abused children possible?: a systematic review of the diagnostic accuracy of the identification of abused children. BMC Pediatr 13:202–215CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of General and Trauma Surgery, Department of SurgeryLehigh Valley Health NetworkAllentownUSA
  2. 2.Division of Pediatric Surgical Specialties, Department of Surgery, Lehigh Valley Reilly Children’s HospitalLehigh Valley Health NetworkAllentownUSA
  3. 3.Department of Pediatrics, Section of Child Protection Medicine, Lehigh Valley Reilly Children’s HospitalLehigh Valley Health NetworkAllentownUSA

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