Table 1.

TRAIN Collaborative Interventions

Site	Intervention
All 6 institutions	Evidence-based standardized evaluation of infants with suspected NAT
	Educational updates for frontline clinical staff on signs of NAT in infants
Institution 1	Signage highlighting indications for skeletal survey
	Recurrent education during daily nursing huddles
Institution 2	Order sets for recommended laboratory work and imaging in infants with suspected NAT
	Development of scripting for providers and SWs to discuss concerns of NAT with caregivers
Institution 3	Assessed provider awareness of injuries concerning for NAT using a survey
	Development of education specifically around deficits identified in the survey
Institution 4	EHR-based reminder of required social work involvement for patients with concern for NAT
	Scripted questions for providers to standardize history-taking for patients with concern for NAT
Institution 5	Improved cutaneous examinations by encouraging undressing of all infants for examination
	Development of standardized EHR language to support documentation of examination
Institution 6	Educational efforts of all ED staff followed by follow-up survey to assess understanding

NAT, non-accidental Trauma.