Access the full text.
Sign up today, get DeepDyve free for 14 days.
R. Cunningham, P. Carter, M. Ranney, M. Zimmerman, F. Blow, B. Booth, Jason Goldstick, M. Walton (2015)
Violent reinjury and mortality among youth seeking emergency department care for assault-related injury: a 2-year prospective cohort study.JAMA pediatrics, 169 1
Jacquelyn Campbell, N. Glass, P. Sharps, K. Laughon, Tina Bloom (2007)
Intimate Partner HomicideTrauma, Violence, & Abuse, 8
B. Brooke, D. Efron, D. Chang, E. Haut, E. Cornwell (2006)
Patterns and outcomes among penetrating trauma recidivists: it only gets worse.The Journal of trauma, 61 1
JC Campbell, N Glass, PW Sharps, K Laughon, T Bloom (2007)
Intimate partner homicide: Review and implications of research and policyTrauma Violence Abuse, 8
AM McCoy, JJ Como, G Greene, SL Laskey, JA Claridge (2013)
A novel prospective approach to evaluate trauma recidivism: The concept of the past trauma historyJ Trauma Acute Care Surg, 75
A. Choi, B. Lo, J. Wong, R. Lo, P. Chau, J. Wong, C. Lau, C. Kam (2019)
Clinical Features of Heterosexual Intimate Partner Violence Victims With Escalating Injury SeverityJournal of Interpersonal Violence, 36
Rachel Nygaard, Ashley Marek, Samuel Daly, J. Camp (2018)
Violent trauma recidivism: Does all violence escalate?European Journal of Trauma and Emergency Surgery, 44
P. Harris, Robert Taylor, R. Thielke, Jonathon Payne, N. Gonzalez, J. Conde (2009)
Research electronic data capture (REDCap) - A metadata-driven methodology and workflow process for providing translational research informatics supportJournal of biomedical informatics, 42 2
P. Harris, Robert Taylor, Brenda Minor, V. Elliott, Michelle Fernandez, Lindsay O'Neal, Laura McLeod, Giovanni Delacqua, Francesco Delacqua, Jacqueline Kirby, S. Duda (2019)
The REDCap consortium: Building an international community of software platform partnersJournal of biomedical informatics
IntroductionVictims of violence (VoV) are at disproportionate risk for future violence, making consideration of patient safety by Emergency Medicine (EM) physicians and Trauma Surgeons (TS) essential when discharge planning (DP) for VoV. Practice patterns and ethical perspectives in DP for VoV, and their respective scenario- and specialty-specific variations, are unknown.MethodsWe surveyed 118 EM and 37 TS physicians at a level 1 trauma center. Three clinical scenarios were presented (intimate partner violence, elder abuse, gun violence), each followed by four questions assessing practices and ethical dilemmas in DP. Responses were compared using Chi-Square testing.ResultsResponse rate was 51.6%. EM physicians more frequently supported patient autonomy to proceed with a potentially unsafe discharge plan after an episode of Intimate Partner Violence (P = .013) and believed that admission could facilitate change in the victim’s social situation after an episode of Elder Abuse (P = .026). TS physicians were more likely to offer social admission, providing additional time to navigate safe discharge planning (P = .003), less likely to see social admission as an inappropriate use of limited resources (P = .030) and less likely to support patient autonomy to proceed with a potentially unsafe discharge (P = .003) after gun-related violence.ConclusionThere appears to exist scenario- and specialty-specific variability in the practice patterns and ethical perspectives of EM and TS physicians when discharge planning for victims of violence. These findings highlight the need for further evaluation of specific factors underlying variability by situation and specialty, and their implications for patient-centered outcomes.
The American Surgeon – SAGE
Published: Dec 1, 2023
Keywords: Trauma; Ethics; Discharge Safety; Violence
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.