| National survey of emergency department alcohol screening and intervention practices. | |
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MedLine Citation:
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PMID: 20363530 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY OBJECTIVE: We describe current alcohol screening and brief intervention practices in emergency departments (EDs) at Level I and Level II trauma centers and characterize ED directors' attitudes and perceived barriers associated with these practices among injured patients in the ED. METHODS: ED directors at Level I and Level II trauma centers were surveyed about current alcohol screening and intervention practices in the ED, as well as knowledge, attitudes, and perceived barriers to these practices. RESULTS: Nearly half (46.0%) of ED directors surveyed responded. The majority (64.5%) reported using a serum alcohol level to routinely screen for unhealthy alcohol use; only 23.6% routinely use standardized instruments. Sixty-five percent of ED directors support screening and 70% support intervention among injured ED patients. Only 15% reported having formal screening and intervention policies in their ED, and 9% reported offering brief alcohol intervention by trained personnel. The most commonly perceived barriers to implementation are provider time (83%) and financial resources (55%). Of injured patients identified as exhibiting alcohol misuse, few (12%) receive brief intervention conducted by trained personnel. CONCLUSION: Current alcohol screening and brief intervention practices are lagging behind national guidelines. Although the majority of ED directors support the idea of alcohol screening and intervention, these beliefs have not yet been translated to routine clinical care. |
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Authors:
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Rebecca M Cunningham; Stephanie R Harrison; Mary Pat McKay; Michael J Mello; Mark Sochor; Jamie R Shandro; Maureen A Walton; Gail D'Onofrio |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-04-03 |
Journal Detail:
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Title: Annals of emergency medicine Volume: 55 ISSN: 1097-6760 ISO Abbreviation: Ann Emerg Med Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-24 Completed Date: 2010-06-11 Revised Date: 2010-09-24 |
Medline Journal Info:
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Nlm Unique ID: 8002646 Medline TA: Ann Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 556-62 Citation Subset: AIM; IM |
Copyright Information:
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Copyright (c) 2009 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Injury Research Center, Department of Emergency Medicine, University of Michigan, 24 Frank Lloyd Wright, Ann Arbor, MI 48106, USA. stroh@umich.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Alcohol Drinking*
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epidemiology,
prevention & control Alcohol-Related Disorders / diagnosis, prevention & control Attitude of Health Personnel Cross-Sectional Studies Emergency Service, Hospital* / organization & administration Health Care Surveys Health Knowledge, Attitudes, Practice Humans Substance Abuse Detection United States Wounds and Injuries / epidemiology, etiology |
| Comments/Corrections | |
Comment In:
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Evid Based Nurs. 2010 Oct;13(4):108-9
[PMID:
20855332
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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