Injury prevention activities in U.S. trauma centres: are we doing enough?
BACKGROUND
Despite the requirement for and endorsement of injury prevention efforts among U.S. trauma centres, little is known about the breadth and depth of their current activities.


METHODS
A survey was sent to eligible institutions in the National Inventory of Trauma Centres to better describe how level I and II centres are fulfilling their injury prevention requirement, to identify the barriers to conducting prevention activities, and to determine trauma centre personnel's interest in enhancing their prevention role.


RESULTS
A total of 268 trauma centres (60%) completed the survey. Only 19% reported having an injury prevention director/coordinator but more than half of centres reported participating in 9 of 11 injury prevention activities, including participating in community events (97%), sending speakers to local schools (89%), and preparing or distributing educational materials (84%). Lack of time (68%), dedicated funding (68%), and an injury prevention specialist (45%) were the most frequently cited barriers to conducting injury prevention activities. Injury prevention collaborations were reported with safety groups (24%) and with emergency medical services, fire and police (23%). Trauma centres partnered less frequently with academic institutions (11%) and local or state health departments (16%). Topics and formats for injury prevention training as well as training barriers were also explored.


CONCLUSIONS
Improved partnerships and linkages with established agencies and organisations at the local and state levels could assist trauma centres in leveraging their more limited resources and expertise to offer state-of-the-art injury prevention programs and policies. As low- and middle-income countries are developing or strengthening their trauma systems, they should be encouraged to view injury prevention as a fundamental responsibility.
McDonald
Eileen M
EM
Johns Hopkins Bloomberg School of Public Health, Center for Injury Research and Policy, Baltimore, MD 21205, USA. emcdonal@jhsph.edu
MacKenzie
Ellen J
EJ
Teitelbaum
Sandra D
SD
Carlini
Anthony R
AR
Teter
Harry
H
Valenziano
Carl P
CP
D000068:Accreditation; D002983:Clinical Competence; D003159:Community-Institutional Relations; D004502:Education, Medical, Continuing / Q000458:organization & administration; D004503:Education, Medical, Graduate / Q000458:organization & administration; D019538:Health Care Surveys; D006293:Health Promotion / Q000592:standards*; D006302:Health Services Research; D006801:Humans; D014193:Trauma Centers / Q000592:standards*; D014194:Traumatology / Q000193:education; D014481:United States; D014947:Wounds and Injuries / Q000517:prevention & control*