Résumé :
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[BDSP. Notice produite par INIST gwR0x3XT. Diffusion soumise à autorisation]. Objectives. This study measured the effects of an administrative intervention on health care provider compliance with universal domestic violence screening protocols. Methods. We used a simple, interrupted-time-series design in a stratified random sample of female emergency department patients 18 years or older (n=1638 preintervention, n=1617 postintervention). The intervention was a 4-tiered hospital-approved disciplinary action, and the primary outcome was screening compliance. Results. Preintervention and postintervention screening rates were 29.5% and 72.8%, respectively. Before the intervention, screening was worse on the night shift (odds ratio [OR]=0.46,95% confidence interval [CI]=0.31,0.68) and with psychiatric patients (OR=0.34,95% CI=0.14,0.85) ; after the intervention, no previous screening barriers remained significant. Conclusions. An administrative intervention significantly enhanced compliance with universal domestic violence screening.
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