Medical Trauma on the Inpatient Medicine Service: Perspectives of Recently Hospitalized Patients, Residents, and the Interdisciplinary Care Team - Scorecard - MDSpire
Clinical Scorecard: Insights on Medical Trauma from Recently Admitted Patients, Residents, and the Interdisciplinary Care Team in Inpatient Medicine Services
At a Glance
Category
Detail
Condition
Medical Trauma
Key Mechanisms
Influence of trauma on health outcomes, including chronic illness and mental health disorders.
Target Population
Patients hospitalized on general internal medicine services with complex trauma histories.
Care Setting
Inpatient internal medicine settings.
Key Highlights
Trauma is a determinant of poor health outcomes, including chronic illness and early mortality.
Over 60% of US adults report at least one adverse childhood experience (ACE).
Medical trauma remains underexplored in adult populations despite its prevalence.
Trauma-informed care (TIC) is essential for addressing the needs of vulnerable patients.
Residents report limited preparedness to address trauma in clinical settings.
Guideline-Based Recommendations
Diagnosis
Assess trauma histories using validated tools like the Philadelphia ACEs survey.
Management
Implement trauma-informed care approaches to avoid re-traumatization.
Monitoring & Follow-up
Monitor patient experiences of safety, trust, and distress during hospitalization.
Risks
Recognize the potential for healthcare settings to unintentionally traumatize patients.
Patient & Prescribing Data
Patients with high social determinants of health needs and histories of trauma.
Focus on trauma-informed care to support healing and trust.
Clinical Best Practices
Provide formal training in trauma-informed care for healthcare providers.
Facilitate open communication to address biases and stigma in clinical settings.
Utilize interdisciplinary care teams to enhance trauma-informed interventions.
by Revika Singh, Ibrahim B. Mokhtar, Yashoswini Chakraborty, Uma Thachapuzha, Muriel Jean-Jacques, Aashish K. Didwania, Christine Schaeffer, Maria E. Theodorou, Rachel O’Conor, Marlise Jeanne Pierre-Wright
These 10 states have paid family or medical leave programs and health, wellness, peer support, or monitoring resources available to physicians or other health professionals.
