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Related Experiment Videos

The dangerous patient

H L Ruben

    American Family Physician
    |February 1, 1981
    PubMed
    Summary

    Managing dangerous patients involves predicting dangerousness, assessing urgency, diagnosing the cause, and implementing safe, effective interventions. Physician calmness and deliberate action are key to successful patient management.

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    Area of Science:

    • Medical Management
    • Patient Safety
    • Clinical Psychology

    Background:

    • Dangerous patients pose significant challenges in healthcare settings.
    • Effective management requires a structured approach.

    Purpose of the Study:

    • To outline a systematic approach for managing dangerous patients.
    • To emphasize the importance of physician conduct in treatment.

    Main Methods:

    • A four-step management framework: prediction, assessment, diagnosis, and intervention.
    • Discussion of verbal, physical, and pharmacological interventions.

    Main Results:

    • Successful management hinges on a physician's calm, deliberate, and reasonable approach.
    • Interventions must be safe, effective, and flexible.

    Conclusions:

    • A systematic, four-step approach is crucial for managing dangerous patients.
    • Physician demeanor significantly impacts patient management outcomes.