Background: Unintentional childhood injuries are ranked as the fourth leading cause of death in the United States, with an average of 31 million children each year arriving in hospital emergency departments across the nation with accidental trauma related injuries (CDC, 2016). Pediatric providers are in a key position to assess, identify, and implement interventions to improve the rates of unintentional injuries that occur within the pediatric population. Purpose: This study will examine pediatric providers’ knowledge of injury prevention and practice behaviors regarding educating families and/or caregivers regarding injury prevention, and the frequency that patients and/or caregivers are provided with safety education. Method: An evidence-based educational intervention regarding home and environmental safety measure was delivered during a Phoenix Children’s Hospital “Grand Rounds”. The data was collected using a pre-test and post-test survey to assess providers’ pre-knowledge of unintentional injury and their practice behaviors. Aim 1: (a) assess the knowledge of pediatric healthcare providers regarding home and environmental age-appropriate safety measures for children, (b) determine the practice behaviors of pediatric healthcare providers in educating patients and/or families regarding injury prevention, and (c) examine the frequency that patients and/or caregivers are provided safety education by their healthcare provider. Aim 2: To evaluate the impact of the educational session on provider knowledge regarding unintentional injury in children. Results: The McNemar test was used to analyze changes in providers scores from pre- to post-test. The level of significance was set at 0.05. The McNemar test revealed a significant increase in the providers’ knowledge of injury prevention between pre- and post-test in the following areas: providers’ definitions of injury; providers’ knowledge of the organization that developed the Children Risk Assessment; the approach providers take to educate caregivers about age-appropriate injury prevention measures in the infant/child home and environment; and examination of how often providers assess patient developmental age. Conclusion: The results of the study showed a statistically significant improvement in providers’ understanding of the prevalence of unintentional childhood injuries from pre- to post-test and the importance of providing patients and families with information that aid in their understanding of injury prevention and home environmental safety interventions.

No description available.

Made available in DSpace on 2015-03-05T20:04:15Z (GMT). No. of bitstreams: 0 Previous issue date: 14 / Nenhuma / Objetivo: Investigar os fatores associados à consulta clínica por injurias físicas domésticas não intencionais durante o primeiro ano de vida. Métodos: Estudo de corte transversal realizado em 500 lactentes, oriundos de um estudo de intervenção em famílias de baixa renda do município de São Leopoldo, que investigou a ocorrência de injúria física doméstica não intencional e sua associação a fatores socioeconômicos, demográficos e do ambiente imediato da criança. Razões de chance (RC) de consulta clinica por essas injurias foram estimadas para cada variável de exposição. Resultados: A grande maioria das crianças (86,8%) apresentou alguma injúria física doméstica não intencional durante o primeiro ano de vida e 10,9% receberam atendimento clínico subseqüente. No modelo multivariado, a chance de consulta foi o dobro para mães adolescentes, comparadas às demais (RC = 2,07; IC95%:1,01-4,25; p= 0,046); e foi 48% menor para famílias com escore na escala HOME, para organização do ambiente físico e temporal, abaixo d / Aims: To investigate risk factors for medically attended unintentional domestic injuries during the first year of life. Methods: Socioeconomic, demographic and environmental factors and unintentional domestic injury were investigated in a sweep of data collection of a intervencion study in infants in the Southern Brazilian city of São Leopoldo (n = 500). Odds ratios (OR) for medically attended injuries were estimated for each exposure variable. Results: Most of the children (86.8%) presented at least one injury during their first year of life and 10.9% received medical assistance due to those injuries. In the multivariate model, the odds of medically attended injuries was the double for children of adolescent mothers compared to the others (OR =2,07; CI95%: 1,01-4,25; p=0,046). The Odds was 48% less for families with the physical and social scale of the HOME inventory bellow the median of the sample (OR =0,52; CI95%: 0,26-1,01; p=0,054). The number of siblings showed an effect in the unadjusted model, but

Drowning and near drowning is a significant problem nationwide and in San Bernardino County. Drowning in and around the home is the leading cause of accidental death of children under 5 years of age. In the United States, drowning is cited as the second most common cause of death for adolescents. This project was undertaken to help establish a funding source to develop a drowning prevention program in San Bernardino County. A request for assistance was obtained from the California Center for Childhood Injury Prevention and the California Kids' Plates Program.