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To evaluate a system‐change model of training from the Family Violence Prevention Fund and the Pennsylvania Coalition Against Domestic Violence for improving the effectiveness of emergency department (ED) response to intimate partner violence (IPV). An experimental design with outcomes measured at baseline, 9‐12, and 18‐24 months post‐intervention. Twelve hospitals in Pennsylvania and California with 20,000‐40,000 annual ED visits were randomly selected and randomly assigned to experimental and control conditions. Emergency department teams (physician, nurse, social worker) from each experimental hospital and a local domestic violence advocate participated in a two‐day didactic information and team planning intervention. The experimental hospitals were significantly higher than the control hospitals on a staff knowledge and attitude measure (F = 5.57, p = 0.019 …