PMID- 27215730
OWN - NLM
STAT- MEDLINE
DCOM- 20170124
LR  - 20170124
IS  - 1555-9823 (Electronic)
IS  - 0003-1348 (Linking)
VI  - 82
IP  - 5
DP  - 2016 May
TI  - Impact of a Quality Improvement Intervention to Increase Brief Alcohol and Drug 
      Interventions on a Level I Trauma Service.
PG  - 468-73
AB  - Screening and brief intervention (SBI) decreases alcohol use and related 
      consequences among trauma patients. Although SBI is required in Level I and II 
      trauma centers, implementation often is difficult. This study used the 
      Plan-Do-Study-Act approach to identify and implement measures to increase the 
      number of patients receiving SBI at a Level I trauma center. A multidisciplinary 
      Quality Improvement Committee with representation from the Trauma Service and SBI 
      Team met monthly during 2011. Stepwise interventions included identifying a 
      resident "champion" responsible for screening, brief intervention, and referral 
      to treatment, including an SBI report at monthly trauma conferences, and 
      incorporating SBI into the trauma order set. Outcomes measures were number of 
      patients screened, patients screening positive, and the number of patients 
      receiving SBI. At baseline, 170 of 362 patients (47%) were screened, 68/170 (40%) 
      had positive screens, and 30/68 (44% of those with positive screens) received SBI 
      services. Quarter 2 saw increases in patients screened-275/437 (63%), patients 
      screening positive (106/275; 39%) and those receiving SBI (60/106; 57%). 
      Increases culminated in Quarter 4 with screening 401/466 (86%; P < 0.001) 
      patients, 208/401 (52%; P < 0.001) patients screening positive, and 114 patients 
      (55%; P = 0.296) receiving services. Use of similar quality improvement measures 
      nationwide could improve rates of provision of this important service.
FAU - Thomas, Princess
AU  - Thomas P
AD  - Department of Surgery, Medical Center, Navicent Health, Macon, Georgia, USA.
FAU - Seale, J Paul
AU  - Seale JP
FAU - Johnson, J Aaron
AU  - Johnson JA
FAU - Dhabliwala, Jason
AU  - Dhabliwala J
FAU - Kitchens, Debra
AU  - Kitchens D
FAU - Okosun, Ike S
AU  - Okosun IS
FAU - Stokes, Nathan A
AU  - Stokes NA
FAU - Ashley, Dennis
AU  - Ashley D
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
SB  - IM
MH  - Aged
MH  - Emergency Service, Hospital
MH  - Female
MH  - Geriatric Assessment
MH  - Glasgow Coma Scale
MH  - Humans
MH  - Injury Severity Score
MH  - Male
MH  - Middle Aged
MH  - Pain/*drug therapy/etiology/*physiopathology
MH  - Pain Management/*methods
MH  - Pain Measurement
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Trauma Centers
MH  - Treatment Outcome
MH  - Wounds and Injuries/*complications/diagnosis
EDAT- 2016/05/25 06:00
MHDA- 2017/01/25 06:00
CRDT- 2016/05/25 06:00
PHST- 2016/05/25 06:00 [entrez]
PHST- 2016/05/25 06:00 [pubmed]
PHST- 2017/01/25 06:00 [medline]
PST - ppublish
SO  - Am Surg. 2016 May;82(5):468-73.