P147 Adding a Domestic Abuse Routine Prompt to the GUM Proforma: But Are we Asking the Question?. (30th June 2016)
- Record Type:
- Journal Article
- Title:
- P147 Adding a Domestic Abuse Routine Prompt to the GUM Proforma: But Are we Asking the Question?. (30th June 2016)
- Main Title:
- P147 Adding a Domestic Abuse Routine Prompt to the GUM Proforma: But Are we Asking the Question?
- Authors:
- Sacks, Rachel
Lavida, Anthi
Mears, Alison - Abstract:
- Abstract : Background/introduction: In July 2015, a routine domestic abuse (DA) prompt was introduced in a busy, walk-in, inner-London, genitourinary medicine (GUM) clinic. DA guidelines, proforma and management flowchart were devised. Tiered training was/is provided at a basic level for all staff and in-depth for Sexual Health Information Protection team (SHIP) and DA champions.Auditable outcomes: DA question asked where safe (Target 100%), (SAFE: quiet/confidential space, seen alone, no child > 18 months present, professional interpreter if necessary), Complete DA proforma if DA disclosed (100%), Patient information leaflet (PIL) given if DA > 3/12 ago/no on-going risk (100%), Offered SHIP referral for risk assessment if DA < 3/12 or on-going risk (100%), DA disclosures correctly coded (100%). Aim(s)/objectives: Audit whether DA routine prompt asked, proforma completed, initial management pathway followed and disclosures coded. Methods: Data collected (notes review) on 100 consecutive, new, walk-in, GUM patients > 18 years-old, from 1 st October 2015. Results: 59 female, 41 male. 91% patients asked about DA. 9 not asked: 5/41 (12.1%) male, 4/59 (6.8%) female. 9/9: no reason documented explaining omission. 5/91 (5%) disclosed DA (all female). DA proforma completed in 3/5 (60%) (1 patient declined further discussion). 1/4 (25%) had current/on-going risk and referred to SHIP. 3/4 DA occurred > 3/12 ago/no on-going risk: 1 accepted, 1 declined, 1 not offered PIL. 2/5 (40%) DAAbstract : Background/introduction: In July 2015, a routine domestic abuse (DA) prompt was introduced in a busy, walk-in, inner-London, genitourinary medicine (GUM) clinic. DA guidelines, proforma and management flowchart were devised. Tiered training was/is provided at a basic level for all staff and in-depth for Sexual Health Information Protection team (SHIP) and DA champions.Auditable outcomes: DA question asked where safe (Target 100%), (SAFE: quiet/confidential space, seen alone, no child > 18 months present, professional interpreter if necessary), Complete DA proforma if DA disclosed (100%), Patient information leaflet (PIL) given if DA > 3/12 ago/no on-going risk (100%), Offered SHIP referral for risk assessment if DA < 3/12 or on-going risk (100%), DA disclosures correctly coded (100%). Aim(s)/objectives: Audit whether DA routine prompt asked, proforma completed, initial management pathway followed and disclosures coded. Methods: Data collected (notes review) on 100 consecutive, new, walk-in, GUM patients > 18 years-old, from 1 st October 2015. Results: 59 female, 41 male. 91% patients asked about DA. 9 not asked: 5/41 (12.1%) male, 4/59 (6.8%) female. 9/9: no reason documented explaining omission. 5/91 (5%) disclosed DA (all female). DA proforma completed in 3/5 (60%) (1 patient declined further discussion). 1/4 (25%) had current/on-going risk and referred to SHIP. 3/4 DA occurred > 3/12 ago/no on-going risk: 1 accepted, 1 declined, 1 not offered PIL. 2/5 (40%) DA disclosures coded correctly (using in-house code). Discussion/conclusion: High enquiry rate (male patients less likely to be asked). DA protocol/flow chart followed in the majority of cases (proforma completion and referral to SHIP). There were low levels of accurate coding. … (more)
- Is Part Of:
- Sexually transmitted infections. Volume 92(2016)Supplement 1
- Journal:
- Sexually transmitted infections
- Issue:
- Volume 92(2016)Supplement 1
- Issue Display:
- Volume 92, Issue 1 (2016)
- Year:
- 2016
- Volume:
- 92
- Issue:
- 1
- Issue Sort Value:
- 2016-0092-0001-0000
- Page Start:
- A70
- Page End:
- A71
- Publication Date:
- 2016-06-30
- Subjects:
- Sexually transmitted diseases -- Periodicals
HIV infections -- Periodicals
616.951005 - Journal URLs:
- http://sti.bmj.com/ ↗
http://www.ncbi.nlm.nih.gov/pmc/journals/176/ ↗
http://www.bmj.com/archive ↗ - DOI:
- 10.1136/sextrans-2016-052718.201 ↗
- Languages:
- English
- ISSNs:
- 1368-4973
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 19925.xml