Clinical audit of referrals for sexual abuse among females ages 1319 years attending the Agape Family Medicine Clinic, Nassau, Bahamas, 20112015
West Indian med. j
; 65(Supp. 3): [23], 2016.
Article
en En
| MedCarib
| ID: med-18093
Biblioteca responsable:
TT2.1
Ubicación: TT5; W1, WE389
ABSTRACT
OBJECTIVE:
To evaluate the adequacy of the documentation of referrals for sexually abused females ages 1319 years directed to the Agape Family Medicine Clinic for interim management. SUBJECTS ANDMETHODS:
An approved review was performed on 123 referral forms regarding sexually abused females 1319 years old who attended Agapes Sexual Assault Follow-up and Evaluation (SAFE) clinic, Nassau, Bahamas. The exercise focussed on documentation adequacy based on a scoring system developed by the researchers > 50% was assessed to be adequate, and recording disposition, date of incident and sexually transmitted infection (STI) screening was considered vital for adequacy. A current version of Statistical Package for the Social Sciences (IBM SPSS, v 21) generated descriptive and inferential statistics.RESULTS:
Participants median age was 14 (IQR 13, 15) years old. Of 63.4% (n = 78) with documented nationality, 88.5% (n = 69) were Bahamian and 11.5% (n = 9) Haitian. Documentation status did not differ statistically significantly by nationality. Regarding documentation, 74% (n =91) recorded school, 59.3% (n = 73) recorded knowing the assailant and 17.9% (n = 22) indicated not knowing. Approximately two-thirds (65.9%; n = 81) indicated penetration type; 18.7% recorded disposition, 29.8% (n =36) incident date and 60.2% STI screening; 7.3% (n = 9) documented all three and 22.8% (n = 28) two. Among public health clinics (PHCs), 45.3% (n = 29) did not indicate any of the three vital variables versus 7.8% (n = 4) for Accident and Emergency (A&E) referrals. Mean percent documentation for vital variables was 49.3 (± 3.6)%for A&E versus 30.5 (± 4.0)% for PHCs (p = 0.001).CONCLUSION:
The deficient documentation status of referral forms demands the need for reform. Complete, consistent documentation is required.
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Colección:
01-internacional
Base de datos:
MedCarib
Asunto principal:
Bahamas
/
Disfunciones Sexuales Psicológicas
/
Violencia contra la Mujer
Límite:
Female
/
Humans
País/Región como asunto:
Bahamas
/
Caribe ingles
Idioma:
En
Revista:
West Indian med. j
Año:
2016
Tipo del documento:
Article
/
Congress and conference