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Alcohol and Other Drug Screening Compliance

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Alcohol and Other Drug Screening Compliance
Dana Noffsinger, RN, MS, CPNP-AC/PC
Nationwide Children's Hospital, Columbus, OH

Abstract: Trauma has been identified as a high risk population in adolescents for alcohol and other drug (AOD) use. Traumatic injury presents a teachable moment to impact future drug use and injury recidivism. Compliance to the screening policy at a Pediatric Level 1 trauma center was 65% from January 2012 to August 2014. Optimal screening guidelines have not been established for adolescents presenting with trauma. Methods: A Quality Improvement initiative was started in August 2014 with the goal of raising compliance to the hospital AOD screening policy to 90% by December 31, 2014. A work group was formed and interventions were implemented to raise compliance. Key interventions included the development of ER order sets by patient age to ensure order entry of lab screens; and a Best Practice Alert for inpatient providers to complete the AOD screen. Compliance to the AOD screening policy, as well as results of the screens were tracked by the trauma department. Results: Since implementation of the interventions, compliance to the AOD policy has increased to a baseline of 84% from September 2014 to March 2015. Conclusions: Compliance to AOD screening has increased by activating automated reminders in the Electronic Medical Record (EMR). Leveraging the EMR can impact healthcare delivery. More research is needed to determine the best AOD screening policies and the effectiveness of interventions to impact future drug use and injury recidivism. 

Objective: Identify ways to improve alcohol and other drug screening compliance for adolescent trauma patients.

Objective Content: At the end of this activity, the learner will be able to list 3 ways to improve compliance to alcohol and other drug screening policies in trauma patients.


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