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

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.

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Correspondence to Marybeth Browne.

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Dudas, L., Petrohoy, G., Esernio-Jenssen, D. et al. Every child, every time: hospital-wide child abuse screening increases awareness and state reporting. Pediatr Surg Int 35, 773–778 (2019). https://doi.org/10.1007/s00383-019-04485-2

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Keywords

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