Figure 4. Excerpts from the Delphi Instrument for Hospital-based Domestic Violence Programs: Categories of Performance and Examples of Questions that Measure Performance
| Performance Category | Example of Measure | Scoring (points) |
|---|
| 1. Hospital policies and procedures |
Are there official, written hospital policies regarding the assessment and treatment of victims of domestic violence? |
No (0) | Yes (1) |
| 2. Hospital physical environment |
Are there posters and/or brochures related to domestic violence on public display in the hospital? If yes, list total number of locations (up to 35). |
No (0) | Yes (1-35) |
| 3. Hospital cultural environment |
In the last 3 years, has there been a formal (written) assessment of the hospital staff's knowledge and attitude about domestic violence? If yes, which groups have been assessed?
a) nursing staff... |
No (0) | Yes (7) |
| 4. Training of providers |
Has a formal training plan been developed for the institution? |
No (0) | Yes (10) |
| 5. Screening and safety assessment |
Is a standardized safety assessment performed and discussed with victims who screen positive for domestic violence? |
No (0) | Yes (27) |
| 6. Documentation |
Does the hospital use a standardized documentation instrument to record known or suspected cases of domestic violence? If yes, does the form include:
a) information on the results of domestic violence screening? ... |
No (0) | Yes (10) |
| 7. Intervention services |
Is there a standard intervention checklist for staff to use/refer to when victims are identified? |
No (0) | Yes (14) |
| 8. Evaluation activities |
Is there any measurement of client satisfaction and/or community satisfaction with the domestic violence program? |
No (0) | Yes (19) |
| 9. Collaboration |
Does the hospital collaborate with local domestic violence programs? If yes, which types of collaboration apply:
a) collaboration with training? ... |
No (0) | Yes (10) |
Source: Agency for Healthcare Research and Quality. Delphi Instrument for Hospital-based Domestic Violence Programs. AHRQ Web site: www.ahrq.gov/research/domesticviol/dvtool.htm. Accessed Oct 16, 2002.
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