Injury prevention activities in US trauma centres: Are we doing enough?

被引:21
作者
McDonald, Eileen M.
MacKenzie, Ellen J.
Teitelbaum, Sandra D.
Carlini, Anthony R.
Teter, Harry, Jr.
Valenziano, Carl P.
机构
[1] Johns Hopkins Bloomberg Sch Publ Hlth, Ctr Injury Res & Policy, Baltimore, MD 21205 USA
[2] Amer Trauma Soc, Upper Marlboro, MD 20772 USA
[3] Jersey City Med Ctr, Jersey City, NJ 07304 USA
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2007年 / 38卷 / 05期
关键词
trauma centre; injury prevention; accreditation;
D O I
10.1016/j.injury.2006.11.020
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: Despite the requirement for and endorsement of injury prevention efforts among U.S. trauma centres, little is known about the breadth and depth of their current activities. Methods: A survey was sent to eligible institutions in the National Inventory of Trauma Centres to better describe how level I and II centres are fulfilling their injury prevention requirement, to identify the barriers to conducting prevention activities, and to determine trauma centre personnel's interest in enhancing their prevention role. Results: A total of 268 trauma centres (60%) completed the survey. Only 19% reported having an injury prevention director/ coordinator but more than half of centres reported participating in 9 of 11 injury prevention activities, including participating in community events (97%), sending speakers to local schools (89%), and preparing or distributing educational materials (84%). Lack of time (68%), dedicated funding (68%), and an injury prevention specialist (45%) were the most frequently cited barriers to conducting injury prevention activities. Injury prevention collaborations were reported with safety groups (24%) and with emergency medical services, fire and police (23%). Trauma centres partnered less frequently with academic institutions (11%) and local or state health departments (16%). Topics and formats for injury prevention training as well as training barriers were also explored. Conclusions: Improved partnerships and linkages with established agencies and organisations at the local and state levels could assist trauma centres in leveraging their more limited resources and expertise to offer state-of-the-art injury prevention programs and policies. As low- and middle-income countries are developing or strengthening their trauma systems, they should be encouraged to view injury prevention as a fundamental responsibility. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:538 / 547
页数:10
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