{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T11:40:14Z","timestamp":1758886814177,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"3","funder":[{"name":"NIH","award":["TL1"],"award-info":[{"award-number":["TL1"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Inj Prev"],"accepted":{"date-parts":[[2023,10,31]]},"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Unintentional injuries are the most common cause of childhood death in the USA and are preventable. We developed a framework for an injury prevention programme using local injury data and understanding stakeholder perspectives.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We used a mixed-methods approach. We performed a retrospective cross-sectional analysis of children presenting to an academic hospital system between January 2019 and December 2020 with an injury-related diagnosis. The primary outcome was encounters with an injury-related ICD-10 code. We conducted a thematic analysis by interviewing caregivers and emergency department (ED) providers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There were 10\u2009193 unique injury-related encounters. Most common injuries were natural\/environmental (22.9%), falls (20.0%) and striking an object (5.1%). Highest rates of injury were seen in children who identified as Native Hawaiian or Pacific Islander (154 injuries per 10\u2009000 children per year), followed by Hispanic or Latino (148). Three out of 20 zip code areas represented 43.4% of all injuries and correlated with lower household income. Twenty-five caregivers and eight ED providers participated in interviews that resulted in four major themes: perceptions of injury risk, caregiver receipt of injury prevention information, barriers and provider counselling.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Clear differences exist within the injury burden in San Francisco by demographics, geography and type of injury. The findings from the study will guide the first steps in designing a strategic paediatric injury prevention centre. The methods may guide future investigations into the dynamic needs of clinicians and caregivers regarding injury. A strategic programme focused on the community\u2019s unique needs and barriers may effectively reduce injury rates.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/ip-2023-044920","type":"journal-article","created":{"date-parts":[[2023,11,24]],"date-time":"2023-11-24T13:20:51Z","timestamp":1700832051000},"page":"200-205","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding a community\u2019s needs for an emergency department-based childhood injury prevention programme: a mixed-methods study"],"prefix":"10.1136","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5038-1508","authenticated-orcid":false,"given":"Hamzah Majid","family":"Yusuf","sequence":"first","affiliation":[{"name":"Emergency Medicine, Stanford Medicine, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Efrat","family":"Rosenthal","sequence":"additional","affiliation":[{"name":"Emergency Medicine, UCSF, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Kornblith","sequence":"additional","affiliation":[{"name":"Emergency Medicine, UCSF, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Sowar","sequence":"additional","affiliation":[{"name":"Emergency Medicine, UCSF, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rigoberto","family":"Del Toro","sequence":"additional","affiliation":[{"name":"Emergency Medicine, UCSF, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol C","family":"Chen","sequence":"additional","affiliation":[{"name":"Emergency Medicine, UCSF, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,11,24]]},"reference":[{"key":"2025092604223286000_30.3.200.1","unstructured":"CDC . Fatal injury and violence data | WISQARS | Injury center. 2023. Available: https:\/\/www.cdc.gov\/injury\/wisqars\/fatal\/index.html [Accessed 07 Oct 2023]."},{"key":"2025092604223286000_30.3.200.2","doi-asserted-by":"crossref","first-page":"580","DOI":"10.2105\/AJPH.84.4.580","article-title":"The impact of the safe kids\/healthy neighborhoods injury prevention program in Harlem, 1988 through 1991","volume":"84","author":"Davidson","year":"1994","journal-title":"Am J Public Health"},{"key":"2025092604223286000_30.3.200.3","article-title":"Safety education of pedestrians for injury prevention","volume":"2002","author":"Duperrax","year":"2002","journal-title":"Cochrane Database Syst Rev"},{"key":"2025092604223286000_30.3.200.4","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2003.004903"},{"key":"2025092604223286000_30.3.200.5","article-title":"School-based education programmes for the prevention of unintentional injuries in children and young people","volume":"12","author":"Orton","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"2025092604223286000_30.3.200.6","article-title":"Safety education of pedestrians for injury prevention","volume":"2002","author":"Duperrex","year":"2002","journal-title":"Cochrane Database Syst Rev"},{"key":"2025092604223286000_30.3.200.7","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1007\/s10459-019-09893-6","article-title":"Patient education in the emergency department: take advantage of the teachable moment","volume":"25","author":"P\u00e9tr\u00e9","year":"2020","journal-title":"Adv Health Sci Educ Theory Pract"},{"key":"2025092604223286000_30.3.200.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2000.tb02052.x"},{"key":"2025092604223286000_30.3.200.9","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.healthplace.2015.09.004","article-title":"Healthy urban environments for children and young people: a systematic review of intervention studies","volume":"36","author":"Audrey","year":"2015","journal-title":"Health Place"},{"key":"2025092604223286000_30.3.200.10","unstructured":"Braun V , Clarke V . Injury data and resources - external cause of injury mortality matrix. 2019. Available: https:\/\/www.cdc.gov\/nchs\/injury\/ice\/matrix10.htm [Accessed 07 Oct 2023]."},{"key":"2025092604223286000_30.3.200.11","unstructured":"Using thematic analysis in psychology: qualitative research in psychology: Vol 3, No 2. Available: https:\/\/www.tandfonline.com\/doi\/abs\/10.1191\/1478088706qp063oa [Accessed 07 Oct 2023]."},{"key":"2025092604223286000_30.3.200.12","unstructured":"U.S. Census Bureau Quickfacts: San Francisco County, California. Available: https:\/\/www.census.gov\/quickfacts\/fact\/table\/sanfranciscocountycalifornia\/PST045222 [Accessed 07 Oct 2023]."},{"key":"2025092604223286000_30.3.200.13","doi-asserted-by":"crossref","unstructured":"Bonilla-Escobar FJ , Guti\u00e9rrez MI . Injuries are not accidents: towards a culture of prevention. Colomb Med (Cali) 2014:132\u20135.","DOI":"10.25100\/cm.v45i3.1462"}],"container-title":["Injury Prevention"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/ip-2023-044920","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T11:22:40Z","timestamp":1758885760000},"score":1,"resource":{"primary":{"URL":"https:\/\/injuryprevention.bmj.com\/lookup\/doi\/10.1136\/ip-2023-044920"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,24]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,5,20]]},"published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1136\/ip-2023-044920"],"URL":"https:\/\/doi.org\/10.1136\/ip-2023-044920","relation":{},"ISSN":["1353-8047","1475-5785"],"issn-type":[{"type":"print","value":"1353-8047"},{"type":"electronic","value":"1475-5785"}],"subject":[],"published":{"date-parts":[[2023,11,24]]}}}