在第三级急诊室的职业暴力:一项回顾性描述性研究
Alexander Joyce1, Richard Pellatt2, Jamie Ranse3
1Department of Emergency Medicine, Gold Coast University Hospital, Gold Coast, Queensland, Australia.
Australasian emergency care
|June 18, 2023
概括
在急救部门 (ED) 经常发生职业暴力,黑码激活的发生率很高. 这凸显了需要针对ED环境中的激动患者制定有针对性的预防策略.
科学领域:
- 紧急医疗 紧急医疗
- 职业健康和安全问题 职业健康和安全问题
- 公共卫生 公共卫生
背景情况:
- 职业暴力是急诊室 (ED) 的一个重大问题,影响员工和患者.
- 医院通常使用"黑码"或类似的协议来管理此类事件.
研究的目的:
- 确定黑码激活在第三级ED中的发生率.
- 描述导致黑码事件的因素,使用的管理策略和任何不良事件.
主要方法:
- 在2021年期间,在昆士兰州东南部的第三级ED中进行了一项描述性研究.
- 数据是从前性维护的Code Black数据库中收集的,并通过对符合条件的成年患者电子病历的回顾性审查来补充.
主要成果:
- 总共有386个黑码事件被记录下来,这表明每1000个成年ED表现的发病率为11.0.
- 参与者主要是男性 (59.6%),平均年龄为40.9岁. 在55.1%的病例中,精神疾病是首要诊断,在30.9%的病例中,酒精是可疑因素.
- 黑码激活与中位数停留时间的增加有关,在54.1%的事件中使用了克制 (物理,化学或两者兼而有之).
结论:
- 在这个ED中,职业暴力的发生率大约是之前报告的三倍.
- 调查结果强调了ED中职业暴力问题日益升级,并强调了为有风险的患者采取积极的预防措施的必要性.
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