Title: The need for standardized hospital screening systems and metrics to detect child maltreatment
Authors: David Scheinker - Stanford University (United States) [presenting]
Anneke Claypool - Stanford (United States)
Margaret Brandeau - Stanford University (United States)
Abstract: Maltreatment is one of the leading causes of injury and death of US children. No national standardized, validated protocols or metrics exist for how hospitals should screen for and report child maltreatment. Hospitals screen for child maltreatment with a variety of tools about the efficacy of which little published evidence exists. We review current screening tools and examine the challenges in creating standardized systems and performance metrics. We propose the outline of a system that is broadly standardized yet customizable to the needs and resources of each hospital and community. We illustrate our work with a case study at Lucile Packard Childrens Hospital Stanford. There we create a system to improve screening coverage, create protocols to standardize screening, and develop metrics to assess performance.