Abstract
OBJECTIVE--To evaluate the possibility of setting up a database on childhood accidents within an accident and emergency (A&E) department. DESIGN--A proforma detailing epidemiological details about the child and details of the injury was designed and tested for accuracy. It was completed in parallel with the existing case documentation. A retrospective sample was analysed after completion of the study to determine times when data collection was poorest. SETTING--Regional paediatric hospital (total catchment population c. 500,000). RESULTS--Of 13,958 patients in whom full information was available, 65% had all the information available on the forms. Areas of discrepancy in the remainder included (1) transposition of date and time of injury with date and time of attendance (73%), (2) wrong coding (11%), (3) illegible digits (6%), (4) inaccurate data entry to computer (6%). Form completion was worst between 1800 hours and midnight. CONCLUSIONS--Data collection is feasible in the A&E department and is a necessary step in effective child accident prevention. It should be done using real time entry onto computer systems. Additional audit staff must be employed to ensure data collection is as complete as possible as close to the time of the initial attendance as possible. Regular analysis of the findings is essential.
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Selected References
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- Jones P. F., Karmody A. M., Galloway J. M. A children's casualty department. Br Med J. 1966 Oct 1;2(5517):819–821. doi: 10.1136/bmj.2.5517.819. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Murchison J., Barton J. R., Ferguson A. An analysis of cases incorrectly coded as inflammatory bowel disease in Scottish Hospital In-Patient Statistics (SHIPS). Scott Med J. 1991 Oct;36(5):136–138. doi: 10.1177/003693309103600504. [DOI] [PubMed] [Google Scholar]
- Peclet M. H., Newman K. D., Eichelberger M. R., Gotschall C. S., Guzzetta P. C., Anderson K. D., Garcia V. F., Randolph J. G., Bowman L. M. Patterns of injury in children. J Pediatr Surg. 1990 Jan;25(1):85–91. doi: 10.1016/s0022-3468(05)80169-1. [DOI] [PubMed] [Google Scholar]
- Teanby D. Underreporting of pedestrian road accidents. BMJ. 1992 Feb 15;304(6824):422–422. doi: 10.1136/bmj.304.6824.422. [DOI] [PMC free article] [PubMed] [Google Scholar]