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Addressing the educational gap in the role of law enforcement personnel in the resuscitation bay. Surgery 2023 Mar;173(3):804-811

Date

10/23/2022

Pubmed ID

36272772

DOI

10.1016/j.surg.2022.08.035

Scopus ID

2-s2.0-85140344782 (requires institutional sign-in at Scopus site)

Abstract

BACKGROUND: Health care workers are often uncertain of the role of law enforcement personnel in the resuscitation bay. A cross-sectional, quality improvement project was designed with an educational intervention to address the knowledge gaps.

METHODS: There were 2 sessions for trauma surgery and emergency medicine faculty, residents, and staff. The first was a formal presentation by hospital risk management and security focused on answering questions generated by real-life scenarios. After reviewing feedback from the first session, the second session was designed as a panel discussion led by attending physicians who reviewed various clinical scenarios. A pre/postsurvey was administered, including potential clinical scenarios with multiple-choice answers and open feedback.

RESULTS: There were 64 presurvey and 31 postsurvey respondents from the first session (48.4%). Significantly more questions were answered correctly from pre to postsurvey (5.5 vs 6.7/16 questions; U = 798.0, P = .048). Of the 14 (45.2%) respondents who provided open-ended feedback, 50% indicated confusion, and 21.4% expressed strong, negative emotions. In the second session, there were 39 presurvey and 18 postsurvey respondents (46.2%). Again, significantly more questions were answered correctly after the second session (2.2 vs 4.5/7 questions; U = 115.0, P ≤ .001). Feedback highlighted that the panel format was considered more helpful than the formal didactic of the first session.

CONCLUSION: Confusion about the role of law enforcement personnel in the clinical environment can be partially addressed using multidisciplinary joint conferences that should be led by clinicians to ensure real-life clinical applicability. Further education and law enforcement personnel role clarification for health care workers are critical to protect patient rights.

Author List

Schroeder ME, Brandolino A, Williams K, McIntosh B, Pilarski AM, Milia DJ, deRoon-Cassini T

Authors

Amber Brandolino in the CTSI department at Medical College of Wisconsin - CTSI
David J. Milia MD Associate Professor in the Surgery department at Medical College of Wisconsin
Alicia Marie Pilarski DO Associate Professor in the Emergency Medicine department at Medical College of Wisconsin
Mary Elizabeth Schroeder MD Associate Professor in the Surgery department at Medical College of Wisconsin
Terri A. deRoon Cassini PhD Center Director, Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Cross-Sectional Studies
Curriculum
Health Personnel
Humans
Law Enforcement
Resuscitation