A Continuous Improvement Process for Health Providers of Victims of Domestic Violence
The Joint Commission Journal on Quality ImprovementPublished 1 October 2001
Evelyn Swenson-Britt, Joseph Thornton, Sue Keir Hoppe, Margaret Brackley
Citations10
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TL;DR
Significant improvements were made in the overall qualitative chart reviews, although the diagnostic coding (using ICD-9 codes and e-codes) did improve and the CIP can be replicated in other settings to improve the care of victims of domestic violence.
Abstract
The CIP effort is being extended to outpatient facilities, and managers have requested that the training manual be replicated and placed throughout UHS as a resource manual. Other activities are intended to improve prevention of domestic violence and intervention when it occurs.
Keywords
Social SciencesMedicine
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Journal of Midwifery & Women s HealthThe American College of Nurse‐Midwives’Domestic Violence Education Project: Evaluation and Results
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