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Types of Reports II: Incident or Occurrence Report01:21

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An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
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Nursing Clinical Information System01:27

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Humans engage in aggression when they seek to cause harm or pain to another person. Aggression takes two forms depending on one’s motives: hostile or instrumental. Hostile aggression is motivated by feelings of anger with intent to cause pain; a fight in a bar with a stranger is an example of hostile aggression. In contrast, instrumental aggression is motivated by achieving a goal and does not necessarily involve intent to cause pain (Berkowitz, 1993); a contract killer who murders for...
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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
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从使用自然语言处理的临床笔记中识别II类工作场所暴力.

Ha Do Byon1, Catherine Harris2, Mary Crandall1,2

  • 1University of Virginia School of Nursing.

Workplace health & safety
|June 30, 2023
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概括
此摘要是机器生成的。

家庭医疗护士在工作场所经历了严重的暴力,往往没有报告. 自然语言处理 (NLP) 在每1万次访问中发现了4起事件,远远超过官方报告,突出NLP.

关键词:
临床注意事项 临床注意事项家庭医疗保健 家庭医疗保健自然语言处理自然语言处理.护理信息学 护理信息学工作场所暴力<心理健康>

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科学领域:

  • 医疗保健安全 医疗保健安全
  • 自然语言处理自然语言处理.
  • 工作场所暴力工作场所暴力

背景情况:

  • 患者对家庭医疗保健护士的II型工作场所暴力是一个关键的健康和安全问题.
  • 许多暴力事件没有通过官方道报告.
  • 自然语言处理 (NLP) 提供了一种方法来从临床笔记中识别未被报告的暴力行为.

研究的目的:

  • 计算家庭医疗护士经历的II型工作场所暴力的12个月流行率.
  • 开发和实施NLP系统,用于在临床笔记中检测未报告的工作场所暴力.

主要方法:

  • 分析了来自美国两家家庭医疗机构的近60万份临床访问笔记 (2019年1月1日 - 2019年12月31日).
  • 应用基于规则和机器学习的NLP算法来识别工作场所暴力的描述.
  • 将NLP发现与官方事件报告数据进行比较.

主要成果:

  • NLP确定了236份临床笔记,详细说明了针对家庭医疗护士的II型工作场所暴力.
  • 每10,000次家庭访问的流行率:身体暴力 (0.067),非身体暴力 (3.76),任何暴力 (4.0).
  • 在研究期间,官方事件报告记录了零次II型工作场所暴力事件.

结论:

  • 通过分析临床记录,NLP有效地揭示了工作场所暴力的"隐藏病例".
  • NLP可以补充正式报告系统,提供更准确的暴力风险图片.
  • 使用NLP可以帮助医疗管理人员和临床医生提高实践环境中的安全性.