Skip to main content
release_alert
Welcome to the new Scholars 3.0! Read about new features and let us know what you think.
cancel
Journal cover image

An inventory of VHA emergency departments' resources and processes for caring for women.

Publication ,  Journal Article
Cordasco, KM; Zephyrin, LC; Kessler, CS; Mallard, M; Canelo, I; Rubenstein, LV; Yano, EM
Published in: J Gen Intern Med
July 2013

BACKGROUND: More women are using Veterans' Health Administration (VHA) Emergency Departments (EDs), yet VHA ED capacities to meet the needs of women are unknown. OBJECTIVE: We assessed VHA ED resources and processes for conditions specific to, or more common in, women Veterans. DESIGN/SUBJECTS: Cross-sectional questionnaire of the census of VHA ED directors MAIN MEASURES: Resources and processes in place for gynecologic, obstetric, sexual assault and mental health care, as well as patient privacy features, stratified by ED characteristics. KEY RESULTS: All 120 VHA EDs completed the questionnaire. Approximately nine out of ten EDs reported having gynecologic examination tables within their EDs, 24/7 access to specula, and Gonorrhea/Chlamydia DNA probes. All EDs reported 24/7 access to pregnancy testing. Fewer than two-fifths of EDs reported having radiologist review of pelvic ultrasound images available 24/7; one-third reported having emergent consultations from gynecologists available 24/7. Written transfer policies specific to gynecologic and obstetric emergencies were reported as available in fewer than half of EDs. Most EDs reported having emergency contraception 24/7; however, only approximately half reported having Rho(D) Immunoglobulin available 24/7. Templated triage notes and standing orders relevant to gynecologic conditions were reported as uncommon. Consistent with VHA policy, most EDs reported obtaining care for victims of sexual assault by transferring them to another institution. Most EDs reported having some access to private medical and mental health rooms. Resources and processes were found to be more available in EDs with more encounters by women, more ED staffed beds, and that were located in more complex facilities in metropolitan areas. CONCLUSIONS: Although most VHA EDs have resources and processes needed for delivering emergency care to women Veterans, some gaps exist. Studies in non-VA EDs are required for comparison. Creative solutions are needed to ensure that women presenting to VHA EDs receive efficient, timely, and consistently high-quality care.

Duke Scholars

Published In

J Gen Intern Med

DOI

EISSN

1525-1497

Publication Date

July 2013

Volume

28 Suppl 2

Issue

Suppl 2

Start / End Page

S583 / S590

Location

United States

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Surveys and Questionnaires
  • Sex Offenses
  • Pregnancy
  • Humans
  • Health Services Accessibility
  • Health Resources
  • General & Internal Medicine
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Cordasco, K. M., Zephyrin, L. C., Kessler, C. S., Mallard, M., Canelo, I., Rubenstein, L. V., & Yano, E. M. (2013). An inventory of VHA emergency departments' resources and processes for caring for women. J Gen Intern Med, 28 Suppl 2(Suppl 2), S583–S590. https://doi.org/10.1007/s11606-012-2327-7
Cordasco, Kristina M., Laurie C. Zephyrin, Chad S. Kessler, Meri Mallard, Ismelda Canelo, Lisa V. Rubenstein, and Elizabeth M. Yano. “An inventory of VHA emergency departments' resources and processes for caring for women.J Gen Intern Med 28 Suppl 2, no. Suppl 2 (July 2013): S583–90. https://doi.org/10.1007/s11606-012-2327-7.
Cordasco KM, Zephyrin LC, Kessler CS, Mallard M, Canelo I, Rubenstein LV, et al. An inventory of VHA emergency departments' resources and processes for caring for women. J Gen Intern Med. 2013 Jul;28 Suppl 2(Suppl 2):S583–90.
Cordasco, Kristina M., et al. “An inventory of VHA emergency departments' resources and processes for caring for women.J Gen Intern Med, vol. 28 Suppl 2, no. Suppl 2, July 2013, pp. S583–90. Pubmed, doi:10.1007/s11606-012-2327-7.
Cordasco KM, Zephyrin LC, Kessler CS, Mallard M, Canelo I, Rubenstein LV, Yano EM. An inventory of VHA emergency departments' resources and processes for caring for women. J Gen Intern Med. 2013 Jul;28 Suppl 2(Suppl 2):S583–S590.
Journal cover image

Published In

J Gen Intern Med

DOI

EISSN

1525-1497

Publication Date

July 2013

Volume

28 Suppl 2

Issue

Suppl 2

Start / End Page

S583 / S590

Location

United States

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Surveys and Questionnaires
  • Sex Offenses
  • Pregnancy
  • Humans
  • Health Services Accessibility
  • Health Resources
  • General & Internal Medicine