{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T20:52:53Z","timestamp":1761511973388,"version":"3.40.5"},"reference-count":15,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1998,7,1]]},"abstract":"<jats:p>Objectives.\u2003To determine the effects of increased physician training and a structured clinical form on physician documentation of child physical abuse.<\/jats:p><jats:p>Design.\u2003Retrospective chart review.<\/jats:p><jats:p>Participants.\u2003Children evaluated in the pediatric emergency department in 1980 and 1995 who were given the diagnosis of physical abuse.<\/jats:p><jats:p>Measurements.\u2003The unstructured pediatric emergency department form and the structured child abuse reporting form were reviewed for documentation of 20 items including history, physical examination, diagnostic procedures, and disposition. Data documented in 1980 were compared with that in 1995.<\/jats:p><jats:p>Results.\u2003The only significant differences between 1980 and 1995 concerning documentation on the unstructured pediatric emergency department form were better recording in the latter year of Child Protective Services involvement and case disposition. Half or more of the records omitted documentation of at least one of the following: witnesses to injury, past injuries, description of size and\/or color of injuries, illustration, and a genital exam. None of the records contained a developmental history. Significantly fewer skeletal surveys were obtained in 1995, although notation of the results was similar to 1980. For both years, the structured child abuse reporting form improved documentation of only two items: time of arrival to the pediatric emergency department and illustrations of injuries.<\/jats:p><jats:p>Conclusions.\u2003Little improvement in physician documentation of child physical abuse was noted between 1980 and 1995 despite increased efforts to educate housestaff in the evaluation of child abuse during this time period. Although a structured form prompted physicians to document dates and times and to illustrate physical injuries on the diagram provided, it did not significantly improve documentation of other items.<\/jats:p>","DOI":"10.1542\/peds.102.1.53","type":"journal-article","created":{"date-parts":[[2004,8,13]],"date-time":"2004-08-13T23:44:32Z","timestamp":1092440672000},"page":"53-58","source":"Crossref","is-referenced-by-count":29,"title":["Documentation of Child Physical Abuse: How Far Have We Come?"],"prefix":"10.1542","volume":"102","author":[{"given":"Mary Ann P.","family":"Limbos","sequence":"first","affiliation":[{"name":"From theDivision of General and Emergency Pediatrics, Harbor-UCLA Medical Center, Torrance, California; and currently in the"},{"name":"Division of General Pediatrics, Children's Hospital Los Angeles, Los Angeles, California."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol D.","family":"Berkowitz","sequence":"additional","affiliation":[{"name":"From theDivision of General and Emergency Pediatrics, Harbor-UCLA Medical Center, Torrance, California; and currently in the"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[1998,7,1]]},"reference":[{"key":"2021121010180208600_B1","first-page":"596","article-title":"The pediatrician's documentation of child maltreatment.","volume":"146","author":"Dubowitz","year":"1992","journal-title":"Am J Dis Child"},{"key":"2021121010180208600_B2","doi-asserted-by":"crossref","first-page":"288","DOI":"10.3928\/0090-4481-19970501-06","article-title":"Preparation for child abuse litigation: perspectives of the prosecutor and the pediatrician.","volume":"26","author":"Hanes","year":"1997","journal-title":"Pediatr Ann"},{"key":"2021121010180208600_B3","first-page":"429","article-title":"Child abuse: a model for the use of structured clinical forms.","volume":"98","author":"Bar-on ME, Zanga JR","year":"1996","journal-title":"Pediatrics"},{"key":"2021121010180208600_B4","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1001\/archpedi.1980.02130170053018","article-title":"Trauma and child abuse.","volume":"134","author":"Solomons","year":"1980","journal-title":"Am J Dis Child"},{"key":"2021121010180208600_B5","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1001\/jama.1962.03050270019004","article-title":"The battered child syndrome.","volume":"81","author":"Kempe","year":"1962","journal-title":"JAMA"},{"key":"2021121010180208600_B6","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1097\/00007611-199102000-00004","article-title":"Predictive value of historical and physical characteristics for the diagnosis of child abuse.","volume":"84","author":"Hammond","year":"1991","journal-title":"South Med J"},{"key":"2021121010180208600_B7"},{"key":"2021121010180208600_B8","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/0145-2134(88)90043-9","article-title":"Medical forensic photography of the sexually abused child.","volume":"12","author":"Ricci","year":"1988","journal-title":"Child Abuse Negl"},{"key":"2021121010180208600_B9","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1001\/archpedi.1991.02160030043018","article-title":"Photographing the physically abused child.","volume":"145","author":"Ricci","year":"1991","journal-title":"Am J Dis Child"},{"key":"2021121010180208600_B10","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1542\/peds.87.2.262","article-title":"Diagnostic imaging of child abuse.","volume":"87","author":"American Academy of Pediatrics, Section on Radiology","year":"1991","journal-title":"Pediatrics"},{"key":"2021121010180208600_B11","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1097\/00006565-199110000-00003","article-title":"Improving knowledge of emergency physicians about child physical and sexual abuse.","volume":"7","author":"Showers","year":"1991","journal-title":"Pediatr Emerg Care"},{"key":"2021121010180208600_B12","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1097\/00004703-199110000-00004","article-title":"Teaching pediatric residents about child maltreatment.","volume":"12","author":"Dubowitz","year":"1991","journal-title":"J Dev Behav Pediatr"},{"key":"2021121010180208600_B13","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1097\/00006565-199502000-00017","article-title":"Childhood injuries and the importance of documentation in the emergency department.","volume":"11","author":"Christopher","year":"1995","journal-title":"Pediatr Emerg Care"},{"key":"2021121010180208600_B14","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/S0196-0644(80)80009-6","article-title":"A photographic system for the emergency department.","volume":"9","author":"Cordell","year":"1980","journal-title":"Ann Emerg Med"},{"key":"2021121010180208600_B15","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1097\/00006565-198512000-00014","article-title":"What you don't record can hurt you: documentation in the emergency department.","volume":"1","author":"Fosarelli","year":"1985","journal-title":"Pediatr Emerg Care"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/102\/1\/53\/837902\/53.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/102\/1\/53\/837902\/53.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,14]],"date-time":"2024-01-14T05:06:07Z","timestamp":1705208767000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/102\/1\/53\/65458\/Documentation-of-Child-Physical-Abuse-How-Far-Have"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,7,1]]},"references-count":15,"journal-issue":{"issue":"1","published-online":{"date-parts":[[1998,7,1]]},"published-print":{"date-parts":[[1998,7,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.102.1.53","relation":{},"ISSN":["1098-4275","0031-4005"],"issn-type":[{"type":"electronic","value":"1098-4275"},{"type":"print","value":"0031-4005"}],"subject":[],"published":{"date-parts":[[1998,7,1]]}}}