Adult Trauma Centers RE-AIM at Gun Safety (ACTFAST) Prevention
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:

(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;
(Primary Aim 2) Assess firearm injury prevention knowledge, attitudes, and safe storage practices among trauma patients treated within participating trauma centers.
- EligibilityCriteria: Electronic Medical Record (EMR) Participants:  Inclusion Criteria:  trauma patients admitted to adult trauma inpatient services at participating institutions  Exclusion Criteria:  none  Patient participants  Inclusion Criteria:  at least 18 years of age; admitted to a participating trauma service for an injury; fluent in English or Spanish; able to provide written consent.  Exclusion Criteria:  prisoner or in police custody; admitted due to suicide attempt any acute conditions that would preclude provision of informed consent or assent (i.e., acute psychosis, altered mental status, cognitive impairment).  Staff participants  Inclusion Criteria:  trauma service physician, physician assistant, nurse practitioner, nurse or social worker at participating pediatric trauma center  Exclusion Criteria:  none - HealthyVolunteers: Accepts Healthy Volunteers - Gender: All - MinimumAge: 18 Years - StdAgeList: Adult, Older Adult