000007532 001__ 7532
000007532 005__ 20240506145305.0
000007532 0247_ $$2DOI$$a10.6083/v405sb014
000007532 037__ $$aETD
000007532 245__ $$aAcute child sexual assault exams: a quality improvement project
000007532 260__ $$bOregon Health and Science University
000007532 269__ $$a2019
000007532 336__ $$aFinal project
000007532 502__ $$bD.N.P.
000007532 520__ $$aChild sexual assaults number about 115,000 annually.  The American Academy of Pediatrics and a panel of child maltreatment medical experts known as the Adams' group maintain updated guidelines for examination, diagnosis, and treatment of child sexual assault victims.  Chart reviews at the project site demonstrate that child sexual assault (CSA) exams in the emergency department (ED) do not adhere to current national and state CSA guidelines for anogenital exam documentation, taking anogenital photo-documentation, and photo-documentation quality.  A plan-do-study-act model was used to assess current practice, plan strategies to improve adherence to CSA guidelines, and for ongoing improvement.  Chart review of all CSA ED patients were performed to measure guideline adherence and compare data before and after the intervention.  An educational module for ED nursing and provider staff was created based on current CSA guidelines and presented to ED CSA champions and provider representatives in didactic sessions.
000007532 542__ $$fIn copyright - single owner
000007532 650__ $$aChild Abuse, Sexual$$016464
000007532 650__ $$aGuideline Adherence$$032040
000007532 691__ $$aSchool of Nursing$$041370
000007532 7001_ $$aKerbs, Karis$$uOregon Health and Science University$$041354
000007532 8564_ $$98af5aacc-d003-4b5c-9eef-c45f641b0a3b$$s328914$$uhttps://digitalcollections.ohsu.edu/record/7532/files/kerbs.karis.2019.pdf
000007532 905__ $$a/rest/prod/v4/05/sb/01/v405sb014
000007532 909CO $$ooai:digitalcollections.ohsu.edu:7532$$pstudent-work
000007532 980__ $$aTheses and Dissertations