Welcome to the training on Preventing Unintentional Injury provided by the Texas Department of State Health Services (DSHS) and the Texas Health and Human Services Commission (HHSC).
The goal of this module is to equip Texas Health Steps providers and others to identify risk factors for unintentional injury from birth through 20 years, provide age-appropriate anticipatory guidance, and apply state law and best practices to prevent unintentional injury and death.
Texas Health Steps providers and other interested health-care professionals.
Specific Learning Objectives
After completing the activities of this module, you will be able to:
- Summarize the leading causes of unintentional injury and death in infancy, early childhood, middle childhood, and adolescence.
- Specify risk factors for unintentional injuries and effective risk-reduction strategies at various ages and stages of development.
- Integrate into routine clinical practice age-appropriate anticipatory guidance to prevent unintentional injury.
- Interpret Texas safety laws that prevent childhood injury and death.
Note: The term “parents” in this module also implies caregivers and guardians. The term “childhood” refers to children from birth through 18 years.
Certificate of Attendance
The Texas Department of State Health Services, Continuing Education Service certifies that this attendee participated in the educational activity listed above. The Texas Department of State Health Services, Continuing Education Service has awarded 1.0 hour(s) for attendance.
One of the requirements of continuing education is disclosure of the following information to the learner:
- Notice of requirements for successful completion of continuing education activity. To receive continuing education credit the learner must successfully complete the following activities:
- Create a Texas Health Steps account.
- Complete on-line registration process.
- Thoroughly read the content of the module.
- Complete the on-line examination.
- Complete the evaluation.
- Commercial Support.
The THSTEPS Web-based Continuing Education Series has received no commercial support.
- Disclosure of Relevant Financial Relationships.
The THSTEPS Continuing Education Planning Committee and the authors of these modules have no relevant financial relationships to disclose. Planning Committee/ Author Name of Commercial interest Nature of the Relationship LeAnn Kridelbaugh Salary Employment (Director of Medical Home Initiatives).
- Non-Endorsement Statement.
Accredited status does not imply endorsement of any commercial products or services by the Department of State Health Services, Continuing Education Service; Texas Medical Association; or American Nurse Credentialing Center.
- Off-Label Use.
Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that the authors of these modules have not included content that discusses off-label use (use of products for a purpose other than that for which they were approved by the Food and Drug Administration).
The following are policies and definitions of terms related to continuing education disclosure:
The intent of disclosure is to allow Department of State Health Services (DSHS) Continuing Education Service the opportunity to resolve any potential conflicts of interest to assure balance, independence, objectivity and scientific rigor in all of its Continuing Education activities.
All faculty, planners, speakers and authors of Department of State Health Services (DSHS) Continuing Education Service sponsored activities are expected to disclose to the Department of State Health Services (DSHS) Continuing Education Service any relevant financial, relationships with any commercial or personal interest that produces health care goods or services concerned with the content of an educational presentation. Faculty, planners, speakers and authors must also disclose where there are any other potentially biasing relationships of a professional or personal nature.
Glossary of Terms
Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect Continuing Education content about products or services of a commercial interest with which she/he has a financial relationship or where there are any other potentially biasing relationships of a professional or personal nature.
Commercial Interest: Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
Financial Relationships: Those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. Relevant financial relationships would include those within the past 12 months of the person involved in the activity and a spouse or partner. Relevant financial relationships of your spouse or partner are those of which you are aware at the time of this disclosure.
Off Label: Using products for a purpose other that that for which it was approved by the Food and Drug Administration (FDA).
- American Academy of Pediatrics, Bright Futures: Developmental, Behavioral, Psychosocial, Screening, and Assessment Forms for adolescents.
- American Academy of Pediatrics. The Injury Prevention Program (TIPP), A Guide to Safety Counseling in Office Practice.
- American Academy of Pediatrics. Motivational Interviewing.
- American Academy of Pediatrics. Policy Statement: Child Passenger Safety.
- Center for Adolescent Substance Abuse Research (CeASAR), Children’s Hospital Boston. (2016). CRAFFT 2.0 screening interview.
- Centers for Disease Control and Prevention. (2012). National Action Plan for Child Injury Prevention.
- Centers for Disease Control and Prevention, WISQARS (Web-based Injury Statistics Query and Reporting System).
- Children’s Safety Network. Texas 2016 State Fact Sheet web page.
- Safe Kids Worldwide. List of Safe Kids Coalitions in Texas.
- Texas Department of State Health Services. Texas Health Steps, Anticipatory Guidance–A Guide for Providers.
- Texas Department of State Health Services. Texas Health Steps Child Health Clinical Record Forms.
- U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA) and Health Resources Services Administration (HRSA), Center for Integrated Health Solutions. SBIRT: Training and Other Resources.
- Child Protective Services (CPS), Texas Department of Family and Protective Services.
- Hazardous Products, Texas Department of State Health Services.
- Safe Riders Traffic Safety Program, Texas Department of State Health Services.
- Texas Youth Connection, Texas Department of Family and Protective Services.
- The Health Assessment and Toxicology (HAT) Program, Texas Department of State Health Services.
- Child Safety Campaigns, Texas Department of Family and Protective Services.
- HealthyChildren.org. Information about sports safety for children from the American Academy of Pediatrics.
- Protect the Ones You Love: Child Injuries are Preventable. A national action plan for child injury prevention from the US Centers for Disease Prevention and Control.
- Safe Kids Worldwide. Information and tips about child safety.
- Safe Riders Traffic Safety Program. Information about child passenger safety from the Texas Department of State Health Services.
- Texas Department of State Health Services. Texas Health Steps, information about finding a health-care provider and getting a ride to a checkup.
- Texas Health and Human Services Commission. My Children’s Medicaid website, information for families about Medicaid benefits and pediatric health-care services.
- Texas Drowning Prevention Alliance. A checklist for water safety.
- Watch Kids Around Water. From HelpandHope.org, information on children’s water safety from the Texas Department of Family and Protective Services. In English and Spanish.
- American Academy of Pediatrics, Task Force on Sudden Infant Death Syndrome. (2016). Policy Statement: SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment. Pediatrics, 138(5): e20162938.
- American Academy of Pediatrics, Committee on Adolescence. (2016). Achieving Quality Health Services for Adolescents. Pediatrics, 138(2): e20161347.
- American Academy of Pediatrics. (2013). ATVs are Dangerous to Children: Must be Designed Safer. Press release.
- American Academy of Pediatrics, TIPP: The Injury Prevention Program. (2011). A guide to safety counseling in office practice.
- American Academy of Pediatrics. (2010). Sports injury prevention tip sheet.
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- American Academy of Pediatrics, Committee on Injury and Poison Prevention. (2000). All-Terrain Vehicle Injury Prevention: Two-, Three-, and Four-Wheeled Unlicensed Motor Vehicles. Pediatrics, 105(6): 1352-1354.
- Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. (2017). 10 leading causes of death by age group, United States – 2015.
- Centers for Disease Control and Prevention. (2012). Vital Signs: Unintentional Injury Deaths Among Persons Aged 0–19 Years, United States, 2000–2009.
- Centers for Disease Control and Prevention. Center for Injury Prevention Policy and Practice. (2008). CDC Childhood Injury Report: Patterns of unintentional injuries among 0-19 year olds in the United States, 2000-2006.
- Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Unintentional Injury. (2008). Protect the ones you love: Child injuries are preventable.
- Chen, J., Kresnow, M., Simon, T. R., & Dellinger, A. (2007). Injury-prevention counseling and behavior among U.S. children: Results from the second injury control and risk survey. Pediatrics, 119(4), 958-965.
- Children’s Safety Network, National Injury and Violence Prevention Resource Center. (2016). Texas 2016 State Fact Sheet.
- Diaz, A., Neal, W. P., Nucci, A. T., Ludmer, P., Bitterman, J., & Edwards, S. (2004). Legal and ethical issues facing adolescent health care professionals. The Mount Sinai Journal of Medicine, 7(3), 181–185.
- Gardner, H. G., & American Academy of Pediatrics’ Committee on Injury, Violence, and Poison Prevention. (2007). Office-based counseling for unintentional injury prevention. Pediatrics, 119(1), 202-206.
- Hayes, J. R., & Groner, J. I. (2005). Minority status and the risk of serious childhood injury and death. Journal of the National Medical Association, 97(3), 362-369.
- Jennissen, C. A., Denning, G. M., Sweat, S., Harland, K., & Buresh, C. (2012). All-Terrain Vehicle Injury Prevention: Healthcare Providers’ Knowledge, Attitudes, and the Anticipatory Guidance They Provide. Journal of Community Health, 37(5), 968-975.
- McMillan, J. A., Feigin, R. D., DeAngelis, C. D., & Jones, Jr., M. D. (Eds.). (2006). Oski’s solution: Oski’s pediatrics: Principles and practice, fourth edition. Philadelphia, PA: Lippincott Williams & Wilkins.
- Mercy, J. A., Sleet, D. A., & Doll, L. (2006). Applying a developmental and ecological framework to injury and violence prevention. From Liller, K.D., (Ed.), Injury prevention for children and adolescents: Research, practice, and advocacy, (Ch. 1). Washington, DC: American Public Health Association.
- National Highway Traffic Safety Administration. (n.d.). Child Car Seat Inspection Station Locator.
- Schnitzer, P. G., Dowd, M. D., Kruse, R. L., & Morrongiello, B. A. (2015). Supervision and Risk of Unintentional Injury in Young Children. Injury Prevention 21(0): e63–e70.
- Siqueira, L., Smith, V. C., & American Academy of Pediatrics Committee on Substance Abuse. (2015). Binge Drinking. Pediatrics, 136(3): e718-e726.
- Texas Department of Insurance. (2013). Fire standard compliant cigarettes in Texas.
- Texas Department of Public Safety. (2011) Texas occupant restraint laws.
- Texas Department of Public Safety. (n.d.). Graduated driver license program.
- Texas Department of State Health Services. (2011). Hyperthermia Dangers in Texas.
- Texas Department of State Health Services. (n.d.). Texas Child Fatality Review.
- Texas Department of Transportation. (2017). Cell Phone Ordinances.
- Texas Health and Human Services and the Texas Department of State Health Services, Texas Health Data, Center for Health Statistics. (2013). Texas Youth Risk Behavior Survey.
- Texas Senate Bill 1462.
- Theurer, W. M., & Bhavsar, A. K. (2013). Prevention of Unintentional Childhood Injury. American Family Physician, 87(7):502-509.
- U.S. Department of Defense, Coast Guard. (2012). Top 10 tips for stand-up paddleboarding.
- U.S. Department of Transportation, National Highway Traffic Safety Administration. (n.d.). Distracted Driving.
- W.H.A.L.E. (We Have a Little Emergency) Program. (n.d.). Child Safety Seat Occupant Identification Program.