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

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  • Larkin, G.L.
  • Rolniak, S.
  • Hyman, K.B.
  • Macleod, B.A.
  • Savage, R.

Abstract

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 post-intervention 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.

Suggested Citation

  • Larkin, G.L. & Rolniak, S. & Hyman, K.B. & Macleod, B.A. & Savage, R., 2000. "Effect of an administrative intervention on rates of screening for domestic violence in an urban emergency department," American Journal of Public Health, American Public Health Association, vol. 90(9), pages 1444-1448.
    • Handle: RePEc:aph:ajpbhl:2000:90:9:1444-1448_2
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