在高风险患者中减少医院暴力
D J Drummond1, L F Sparr, G H Gordon
1Department of Psychology, Veterans Administration Medical Center, Portland, OR 97207.
JAMA
|May 5, 1989
概括
一个医院计划在高风险患者中显著减少了91.6%的暴力事件. 这项干预措施还使整体患者访问减少了42.2%,改善了医疗机构的安全性.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 行为健康 行为健康
背景情况:
- 在普通医院,反复破坏性患者会带来挑战.
- 了解暴力事件的特征对于干预至关重要.
- 一个特定的患者群体 (N=48) 被确定为重复暴力的高风险.
研究的目的:
- 评估一般医院暴力减少计划的有效性.
- 评估该计划对暴力事件和患者访问的影响.
- 确定实施此类计划的关键组成部分和挑战.
主要方法:
- 在试点阶段,暴力事件按地点,类型和责任人进行了描述.
- 收集了计划实施前和后一年的数据.
- 结果指标包括暴力事件的数量和病人的总访问量.
主要成果:
- 观察到暴力事件下降了91.6%.
- 在研究期间,患者访问减少了42.2%.
- 暴力事件与访问的比例减少到计划前的六分之一以下.
结论:
- 实施的计划在减少高风险患者的暴力行为方面取得了巨大的成功.
- 干预导致暴力事件和整体医疗保健利用率显著下降.
- 详细介绍了管理员工抵抗和程序组件的策略.
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