Identification and characteristics of victims of violence identified by emergency physicians, triage nurses, and the police

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Abstract

Objectives: The objectives of the study were threefold-to evaluate the identification and characteristics of victims of assault who attend an accident and emergency (AE) department; to compare the total number of assaults recorded in the A&E department with the number recorded by the police; and to assess a system for collecting the location and method of assault.

Setting: The A&E department of Chorley and South Ribble Hospital Trust, Lancashire, England.

Methods: A three month prospective study was performed. Victims of violence recorded on computer by doctors at discharge were compared with those identified at initial nurse triage. A comparison of police data with the A&E data relating to Chorley residents was performed. Additional information on the method and location of assault was also collected.

Results: During the period 305 (2.6%) of the patients attending A&E were identified as having been assaulted. Of the 305 individuals, 236 (77%) were identified by a doctor while 173 (57%) such patients were identified by a triage nurse. A&E identified twice the number of assaults involving Chorley residents as the police. Both men and women were most likely to have been injured on the street (44% and 37% respectively), although a greater proportion of women were injured at home (24%) than men (10%). The majority of injuries were sustained by blows from fists, feet, and heads (73%).

Conclusions: A&E doctors identify significantly more patients as the victims of violence than do nurses 1 at triage. Using A&E data identifies assaulted individuals not identified by the police. Computer systems can be used in A&E to provide a more complete picture of the occurrence of violence in the community.

Original languageEnglish
Pages (from-to)321-323
Number of pages2
JournalInjury Prevention
Volume8
Issue number4
DOIs
Publication statusPublished - 2002

Keywords

  • INJURY SURVEILLANCE
  • ACCIDENT
  • ASSAULT
  • PERSPECTIVE
  • CRIME

Cite this

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title = "Identification and characteristics of victims of violence identified by emergency physicians, triage nurses, and the police",
abstract = "Objectives: The objectives of the study were threefold-to evaluate the identification and characteristics of victims of assault who attend an accident and emergency (AE) department; to compare the total number of assaults recorded in the A&E department with the number recorded by the police; and to assess a system for collecting the location and method of assault.Setting: The A&E department of Chorley and South Ribble Hospital Trust, Lancashire, England.Methods: A three month prospective study was performed. Victims of violence recorded on computer by doctors at discharge were compared with those identified at initial nurse triage. A comparison of police data with the A&E data relating to Chorley residents was performed. Additional information on the method and location of assault was also collected.Results: During the period 305 (2.6{\%}) of the patients attending A&E were identified as having been assaulted. Of the 305 individuals, 236 (77{\%}) were identified by a doctor while 173 (57{\%}) such patients were identified by a triage nurse. A&E identified twice the number of assaults involving Chorley residents as the police. Both men and women were most likely to have been injured on the street (44{\%} and 37{\%} respectively), although a greater proportion of women were injured at home (24{\%}) than men (10{\%}). The majority of injuries were sustained by blows from fists, feet, and heads (73{\%}).Conclusions: A&E doctors identify significantly more patients as the victims of violence than do nurses 1 at triage. Using A&E data identifies assaulted individuals not identified by the police. Computer systems can be used in A&E to provide a more complete picture of the occurrence of violence in the community.",
keywords = "INJURY SURVEILLANCE, ACCIDENT, ASSAULT, PERSPECTIVE, CRIME",
author = "A. Howe and Crilly, {Michael A}",
year = "2002",
doi = "10.1136/ip.8.4.321",
language = "English",
volume = "8",
pages = "321--323",
journal = "Injury Prevention",
issn = "1353-8047",
publisher = "BMJ Publishing Group",
number = "4",

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T1 - Identification and characteristics of victims of violence identified by emergency physicians, triage nurses, and the police

AU - Howe, A.

AU - Crilly, Michael A

PY - 2002

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N2 - Objectives: The objectives of the study were threefold-to evaluate the identification and characteristics of victims of assault who attend an accident and emergency (AE) department; to compare the total number of assaults recorded in the A&E department with the number recorded by the police; and to assess a system for collecting the location and method of assault.Setting: The A&E department of Chorley and South Ribble Hospital Trust, Lancashire, England.Methods: A three month prospective study was performed. Victims of violence recorded on computer by doctors at discharge were compared with those identified at initial nurse triage. A comparison of police data with the A&E data relating to Chorley residents was performed. Additional information on the method and location of assault was also collected.Results: During the period 305 (2.6%) of the patients attending A&E were identified as having been assaulted. Of the 305 individuals, 236 (77%) were identified by a doctor while 173 (57%) such patients were identified by a triage nurse. A&E identified twice the number of assaults involving Chorley residents as the police. Both men and women were most likely to have been injured on the street (44% and 37% respectively), although a greater proportion of women were injured at home (24%) than men (10%). The majority of injuries were sustained by blows from fists, feet, and heads (73%).Conclusions: A&E doctors identify significantly more patients as the victims of violence than do nurses 1 at triage. Using A&E data identifies assaulted individuals not identified by the police. Computer systems can be used in A&E to provide a more complete picture of the occurrence of violence in the community.

AB - Objectives: The objectives of the study were threefold-to evaluate the identification and characteristics of victims of assault who attend an accident and emergency (AE) department; to compare the total number of assaults recorded in the A&E department with the number recorded by the police; and to assess a system for collecting the location and method of assault.Setting: The A&E department of Chorley and South Ribble Hospital Trust, Lancashire, England.Methods: A three month prospective study was performed. Victims of violence recorded on computer by doctors at discharge were compared with those identified at initial nurse triage. A comparison of police data with the A&E data relating to Chorley residents was performed. Additional information on the method and location of assault was also collected.Results: During the period 305 (2.6%) of the patients attending A&E were identified as having been assaulted. Of the 305 individuals, 236 (77%) were identified by a doctor while 173 (57%) such patients were identified by a triage nurse. A&E identified twice the number of assaults involving Chorley residents as the police. Both men and women were most likely to have been injured on the street (44% and 37% respectively), although a greater proportion of women were injured at home (24%) than men (10%). The majority of injuries were sustained by blows from fists, feet, and heads (73%).Conclusions: A&E doctors identify significantly more patients as the victims of violence than do nurses 1 at triage. Using A&E data identifies assaulted individuals not identified by the police. Computer systems can be used in A&E to provide a more complete picture of the occurrence of violence in the community.

KW - INJURY SURVEILLANCE

KW - ACCIDENT

KW - ASSAULT

KW - PERSPECTIVE

KW - CRIME

U2 - 10.1136/ip.8.4.321

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JO - Injury Prevention

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SN - 1353-8047

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ER -