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Evaluation and Management of the
Sexually Assaulted or Sexually Abused Patient
Chapter 18
Quality Assurance for
Sexual Assault Services
William M. Green, MD, FACEP
Improving Practice and Promoting Effective Community Partnerships
Quality Assurance: Basic Definition
A program for the systematic monitoring and evaluation of the various aspects of a project, service, or facility to
ensure that standards of quality are being met
Merriam Webster Dictionary
Two Areas of Focus
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Sexual Assault Forensic Exam (SAFE) Team
— Performance of medical and forensic tasks
— Operational functioning of the team
— Patient satisfaction
— Effectiveness of oversight and supervision
Sexual Assault Response Team (SART)
— Operational functioning of the team
— Effective communications and problem solving
— Outcomes
Patient
Criminal Justice
Collaborative, inter-agency issues are addressed
General Objectives
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Identify areas in need of improvement
Promote best practices
Track data
Determine educational needs
Address quality concerns
— Examiner issues
— Patient concerns
— System performance
Fundamental Questions
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Evaluation and Management of the Sexually Assaulted or Sexually Abused Patient | ACEP
Are established standards being employed?
Are patient-centered “Best-Practices” being used?
Who is responsible for insuring “quality”?
Given the available resources, what is realistic?
What outcomes will be evaluated and how will they be measured?
Why do it? Is anybody watching?
Quality Assurance for Sexual Assault Services
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