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This twopart quality improvement study aimed to 1 describe demographic and clinical characteristics of sexual assault patients in the ed and identify gaps in guideline adherence, and 2 explore healthcare providerperceived barriers to delivering optimal care. This twopart quality improvement study aimed to 1 describe demographic and clinical characteristics of sexual assault patients in the ed and identify gaps in guideline adherence, and 2 explore healthcare providerperceived barriers to delivering optimal care. ideally, sexual assault medical forensic examiners perform the medical forensic examination, gather information for the medical forensic history, collect and document samples for the sexual assault evidence collection kit, and document pertinent physical findings from patients. Patients who have experienced sexual assault require a medical evaluation, traumainformed care, postexposure prophylaxis, and acute and ongoing emotional support.

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