Faculty Collaboration Database

Integrating Population Health Data on Violence Into the Emergency Department: A Feasibility and Implementation Study. J Trauma Nurs 2018;25(3):149-158

Date

05/10/2018

Pubmed ID

29742625

DOI

10.1097/JTN.0000000000000361

Scopus ID

2-s2.0-85048012376 (requires institutional sign-in at Scopus site)   6 Citations

Abstract

Geocoded emergency department (ED) data have allowed for the development and evaluation of novel interventions for the prevention of violence in cities outside of the United States. First implemented in Cardiff, United Kingdom, collection of these data provides public health agencies, community organizations, and law enforcement with place-based information on assaults. The purpose of this study was to assess the feasibility of translating this model within the electronic medical record (EMR) in the United States. A new EMR module based on the Cardiff Model was developed and integrated into the existing ED EMR. Data were collected for all patients reporting an assaultive injury upon arrival to the ED. Emergency department nurses were subsequently recruited to participate in 2 surveys and a focus group to evaluate the implementation and to provide qualitative feedback to enhance integration. Nurses completed EMR questions in 98.2% of patients reporting to the ED over the study period. More than 90% of survey respondents were satisfied with their participation, and most felt that the questions were useful for clinical care (79/70%), were integrated well into workflow (89/90%), and were congruent with the ED and hospital goals and mission (93/98%). Focus group themes centered on ED culture, external factors, and internal workflow. It is feasible to implement place-based, assault-related injury-specific questions into the EMR with minimal disruption of workflow and triage times. Nurses, as key members of the ED team, are receptive to participating in the collection of population health data that may inform community violence prevention activities.

Author List

Levas MN, Hernandez-Meier JL, Kohlbeck S, Piotrowski N, Hargarten S

Authors

Stephen W. Hargarten MD, MPH Professor in the Emergency Medicine department at Medical College of Wisconsin
Jennifer Lynn Hernandez-Meier PhD Assistant Professor in the Emergency Medicine department at Medical College of Wisconsin
Sara Kohlbeck PhD, MPH Assistant Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Michael Levas MD Professor in the Pediatrics department at Medical College of Wisconsin

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

Emergency Service, Hospital
Feasibility Studies
Female
Focus Groups
Health Knowledge, Attitudes, Practice
Health Plan Implementation
Humans
Male
Models, Statistical
Needs Assessment
Population Health
Public Health
United States
Violence