Determination of Infant-Safe Homes in a Community Injury Prevention Program

Brice, Jane H.; Overby, Barbara A.; Hawkins, Eric; Fihe, Elizabeth L.

doi:10.1080/10903120600726007

“…Previous studies on the home environment found serious deficiencies in the presence and use of home safety devices. 34,35 Although creating a safe environment is important (eg, properly installing stair gates), this alone is not sufficient. Parental knowledge of developmental motor milestones is often lacking.…”

Section: Discussionmentioning

confidence: 99%

Injuries Among Infants Treated in Emergency Departments in the United States, 2001–2004

Mack

¹

,

Gilchrist²,

Ballesteros³

2008

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“…The search identified 3,004 articles, and, after screening and searching bibliographies of included articles, a total of 64 studies representing 58 unique community paramedicine programs were included (Figure 1). 1,2,3,6,7, There were 15 (23.4%) of the 64 studies identified by hand-searching the bibliographies of included studies and by follow-up grey literature searching, and 14 (24.1%) of 58 community paramedicine programs captured were identified through the grey literature (see online Appendix for the table of included studies and grey literature sources).…”

Section: Part I Search Yieldmentioning

confidence: 99%

“…5 Programs can be tailored to community needs by providing a range of services, including disease management, home assessments, and referral to community services. 6,7 Community paramedicine programs may lead to more effective use of paramedic resources. In some programs, paramedics on accommodated duty have adopted the community paramedic role while awaiting return to regular duties.…”

Section: Introductionmentioning

confidence: 99%

Community paramedicine: A systematic review of program descriptions and training

Chan

¹

,

Griffith

²

,

Costa

³

et al. 2019

CJEM

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ObjectivesThe aim of this study is to identify the types of community paramedicine programs and the training for each.MethodsA systematic review of MEDLINE, Embase, grey literature, and bibliographies followed a search strategy using common community paramedicine terms. All studies published in English up to January 22, 2018, were captured. Screening and extraction were completed in duplicate by two independent reviewers. The Mixed Methods Appraisal Tool (MMAT) was used to assess studies’ methodological quality (full methodology on PROSPERO: CRD42017051774).ResultsFrom 3,004 papers, there were 64 papers identified (58 unique community paramedicine programs). Of the papers with an appraisable study design (40.6%), the median MMAT score was 3 of 4 criteria met, suggesting moderate quality. Programs most often served frequent 911 callers (48.3%) and individuals at risk for emergency department admission, readmission, or hospitalization (41.4%); and 70.7% of programs were preventive home visits. Common services provided were home assessment (29.5%), medication management (39.7%), and referral and/or transport to community services (37.9%); and 77.6% of programs involved interprofessional collaboration. Community paramedicine training was described by 57% of programs and expanded upon traditional paramedicine training and emphasized technical skills. Study heterogeneity prevented meta-analysis.ConclusionCommunity paramedicine programs and training were diverse and allowed community paramedics to address a spectrum of population health and social needs. Training was poorly described. Enabling more programs to assess and report on program and training outcomes would support community paramedicine growth and the development of formalized training or education frameworks.

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“…Two US articles described an intervention where paramedics provided education to new and expectant parents on childhood injury prevention [ 30 , 31 ]. However, no information was provided about whether the intervention changed behaviour in the long-term or had any impact on subsequent injuries sustained in the home.…”

Section: Resultsmentioning

confidence: 99%

Delivery of public health interventions by the ambulance sector: a scoping review

Ablard,

Miller,

Poulton

et al. 2023

BMC Public Health

1

0

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Background With millions of unscheduled patient contacts every year and increasing call outs clustered around the most deprived communities, it is clear the ambulance sector could have a role to play in improving population health. However, the application and value of a public health approach within the ambulance sector has not been comprehensively explored. A scoping review was undertaken to explore the role of the ambulance sector in the delivery of public health interventions and what impact this has on population health and ambulance sector outcomes. Methods A search strategy was developed on MEDLINE and translated to other major medical and health related bibliographic databases (Embase; CINAHL; HMIC; Science and Social Sciences Citation Index; Cochrane Library) to identify literature published since 2000 in OECD countries. Targeted grey literature, reference list, and citation searching was also carried out. Search results were downloaded to Microsoft Excel and screened by three reviewers according to pre-determined inclusion / exclusion criteria. Data from included studies, such as the type of activity noted within the paper, the population involved and the public health approach that was utilised, was extracted from within the paper using a data extraction form and narratively synthesised. Results Fifty-two references were included in the final review (37 database searching; 9 reference list searching; 6 grey literature). Included articles were categorised according to the relevant public health domains and subdomains as articulated by the UK Faculty of Public Health: Health improvement domain: Public health education and advice (Health promotion sub-domain) (n=13) Emergency Services personnel providing vaccines (Disease prevention sub-domain) (n=1) Health care public health domain Paramedicine (Service delivery sub-domain) (n=30) Screening tools and referral pathways used by the ambulance sector (Service delivery sub-domain) (n=28) Health intelligence using ambulance sector data (population health management sub-domain) (n=26) Of note, some domains (e.g. health protection) returned nil results. Discussion The scoping review demonstrates the breadth of public health related activities in which the ambulance sector is involved. However, an overemphasis on demand management outcomes precludes definitive conclusions on the impact of ambulance sector-led public health initiatives on public health outcomes. Future evaluations of public health initiatives should incorporate wider health system perspectives beyond the immediately apparent remit of the ambulance sector.

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Determination of Infant-Safe Homes in a Community Injury Prevention Program

Abstract: An alarmingly low number of homes were infant safe (n = 24) and the number of children in the home did not seem to affect home safety. Further research is needed to determine the efficacy of the "Welcome to the World" program.

Cited by 8 publications

References 23 publications

Injuries Among Infants Treated in Emergency Departments in the United States, 2001–2004

Injuries Among Infants Treated in Emergency Departments in the United States, 2001–2004

Community paramedicine: A systematic review of program descriptions and training

Delivery of public health interventions by the ambulance sector: a scoping review

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