Once bitten, twice shy? Medically-attended injuries can sensitise parents to children’s risk of injuries on playgrounds

Morrongiello, Barbara A.; Howard, Andrew; Rothman, Linda; Sandomierski, Megan

doi:10.1136/ip.2008.019398

Cited by 15 publications

(12 citation statements)

References 27 publications

(27 reference statements)

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“…10 The teachable moment may be most useful at the first medical intervention for the injury and less effective with repeated injuries of a similar nature. 24 The mean and median times from triage to discharge for patients in our chart review were 180 and 144 minutes, respectively. Given that approximately one-third of ED visit duration involves direct patient care, 25,26 there is a significant amount of time available for interventions when patients are waiting in triage or examination rooms.…”

Section: Discussionmentioning

confidence: 99%

Emergency Physicians’ Knowledge and Provision of Child Passenger Safety Information

Zonfrillo

Nelson

Durbin

2011

Academic Emergency Medicine

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Objectives: While physicians provide discharge instructions to patients and families following emergency department (ED) visits, injury prevention information may not be routinely included in these instructions. This study assessed emergency physicians' knowledge and provision of child passenger safety (CPS) information to patients following motor vehicle crashes (MVCs).Methods: This study was both a survey of emergency physician knowledge and provision of CPS information and an examination of frequency of CPS information in discharge instructions at a single institution. Members of the American Academy of Pediatrics (AAP) Section on Emergency Medicine were invited to participate in the survey. Respondents were asked about their provision of CPS information to patients and knowledge of national AAP CPS recommendations. The institutional ED medical record chart review assessed the frequency of written CPS information for patients of MVC-related visits who were discharged home.Results: There were 317 survey respondents from 1,024 eligible physicians, of whom 43 began but did not complete the survey. The data analyzed are from the 274 who completed the survey. While 85% (95% confidence interval [CI] = 81% to 89%) of physicians believed that CPS information should be included in discharge instructions, only 36% (95% CI = 31% to 42%) correctly answered all knowledge questions. Of the 51 self-identified division ⁄ department chiefs, 15 (29.4%; 95% CI = 16.9% to 41.9%) reported that their EDs routinely provide CPS information in discharge instructions for pediatric passengers in MVCs. For the medical record review, of the 152 randomly selected MVC visits, 13 (8.6%; 95% CI = 4.1% to 13.0%) had documented CPS information in the discharge instructions. Patients with documented CPS information were younger, but there were no significant differences in race, sex, or maximum abbreviated injury scale score between patients with versus without CPS information. Conclusions:While emergency physicians value the use of CPS information in discharge instructions following MVCs, they do not have adequate knowledge of, nor do they regularly disseminate, this information.

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Section: Discussionmentioning

confidence: 99%

Emergency Physicians’ Knowledge and Provision of Child Passenger Safety Information

Zonfrillo

Nelson

Durbin

2011

Academic Emergency Medicine

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“…A child's medically attended injury may represent a ‘teachable moment’ when parents are receptive to information regarding injury risk in their children 48. To reduce the potential stigma associated with being asked to join a parenting programme after their child has had an injury, we will include first aid and safety advice as a prominent component of the programme.…”

Section: Methodsmentioning

confidence: 99%

The First-aid Advice and Safety Training (FAST) parents programme for the prevention of unintentional injuries in preschool children: a protocol

et al. 2013

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This study will develop the first group-based parenting programme to prevent injuries in preschool children, and design tools for parent-reported injury outcomes. A key challenge will be to recruit parents to participate in a manner that is non-stigmatising, and does not result in feelings of guilt or belief that they are perceived to be a bad parent. The findings will be used to prepare a trial to assess the effectiveness and cost-effectiveness of the intervention.

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“…Morrongiello et al 17 defined the "teachable moment" which can sensitize parents in the moment after injury and can have a positive effect to ensure preventive strategies for own child. Previous studies 8,9 w that this phenomenon had no effect on doctors contrary to the effect on parents.…”

Section: Discussionmentioning

confidence: 99%

Does Providing Clinical Care for Trauma Patients have a Positive Effect on Physicians’ Perspective on Child Passenger Safety?

Çağlar¹,

Çelik²,

Er³

et al. 2018

cayd

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Once bitten, twice shy? Medically-attended injuries can sensitise parents to children’s risk of injuries on playgrounds

Cited by 15 publications

References 27 publications

Emergency Physicians’ Knowledge and Provision of Child Passenger Safety Information

Emergency Physicians’ Knowledge and Provision of Child Passenger Safety Information

The First-aid Advice and Safety Training (FAST) parents programme for the prevention of unintentional injuries in preschool children: a protocol

Does Providing Clinical Care for Trauma Patients have a Positive Effect on Physicians’ Perspective on Child Passenger Safety?

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