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Abstract
Objective This study investigated whether the Child Safety Collaborative Innovation and Improvement Network (CS CoIIN) framework could be applied in the field of injury and violence prevention to reduce fatalities, hospitalizations and emergency department visits among 0–19 year olds.
Sample Twenty-one states/jurisdictions were accepted into cohort 1 of the CS CoIIN, and 14 were engaged from March 2016 through April 2017. A quality improvement framework was used to test, implement and spread evidence-based change ideas (strategies and programs) in child passenger safety, falls prevention, interpersonal violence prevention, suicide and self-harm prevention and teen driver safety.
Procedures Outcome and process measure data were analyzed using run chart rules. Descriptive data were analyzed for participation measures and descriptive statistics were produced. Qualitative data were analyzed to identify key themes.
Results Seventy-six percent of CS CoIIN states/jurisdictions were engaged in activities and used data to inform decision making. Within a year, states/jurisdictions were able to test and implement evidence-based change ideas in pilot sites. A small group showed improvement in process measures and were ready to spread change ideas. Improvement in outcome measures was not achieved; however, 25% of states/jurisdictions identified data sources and reported on real-time outcome measures.
Conclusions Evidence indicates the CS CoIIN framework can be applied to make progress on process measures, but more time is needed to determine if this will result in progress on long-term outcome measures of fatalities, hospitalizations and emergency department visits. Seventeen states/jurisdictions will participate in cohort 2.
- child safety
- injury and violence prevention
- quality improvement
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Footnotes
Contributors JBL and MK: made substantial contributions to the manuscript’s conception, design, and writing. RSS: contributed to the study’s conception and reviewed and edited the manuscript. JA and RT: contributed to the drafting and editing of the manuscript. All authors: approved this version for publication.
Funding This project is supported by the Health Resources and Services Administration of the US Department of Health and Human Services (HHS) under the Child and Adolescent Injury and Violence Prevention Resource Centers Cooperative Agreement (U49MC28422) for $1,199,683.
Disclaimer The information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by, HRSA, HHS or the US Government.
Competing interests None declared.
Provenance and peer review Commissioned; externally peer reviewed.
Correction notice This article has been corrected since it was published Online First. In the first paragraph of the Introduction, ’drowning' has replaced ’homicide' as the first cause of injury deaths among children aged 1-4 years old. In the following sentence, ’children 1-9' has replaced ’children 5-9'.