The goal of this interventional study is to evaluate the implementation and effectiveness of a comprehensive a universal firearm injury prevention program, ACTFAST (Adopting Comprehensive Training for FireArm Safety in Trauma centers), in level 1 trauma centers. The main aims of the study are: 1. (Primary Aim 1) Increase the adoption, implementation, and maintenance of a universal firearm injury prevention intervention at three participating trauma centers in the mid-Atlantic states; 2. (Primary Aim 2) Assess firearm injury prevention knowledge, attitudes, and safe storage practices among trauma patients treated within participating trauma centers.
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Proportion of admitted injured patients receiving each element of the ACTFAST Program
Timeframe: 48 weeks
Percentage of admitted injured patients receiving elements of the ACTFAST Program
Timeframe: Admission, 2 weeks post discharge
Patient firearm safety attitudes and behaviors as assessed by survey
Timeframe: 48 weeks