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在儿科急诊室使用身体限制措施
1From the Fellow, Department of Pediatrics, Division of Emergency Medicine, Children's Mercy Hospital, Kansas City, MO.
Pediatric emergency care
|September 29, 2023
概括
在急诊室安全管理激动的儿童至关重要. 本综述涵盖了降级,适当使用身体限制,以及为儿科患者提供预防伤害的文档.
科学领域:
- 儿科急救医学 儿科急救医学
- 儿童精神病学 儿童精神病学
- 患者安全 患者安全
背景情况:
- 儿童和青少年的急性动荡和攻击性会给他们自己,照顾者和急诊室工作人员带来伤害的风险.
- 对于照顾这些儿科患者的提供者来说,有效的管理策略至关重要.
- 降级失败或未确定的病因可能需要身体限制.
研究的目的:
- 审查治疗急性激动/侵略性儿科患者的方法.
- 在这个人群中概述适当使用身体限制的方法.
- 详细介绍物理限制措施的推评估和文档实践.
主要方法:
- 对当前的文献和指导方针的审查,关于管理儿科的激动和侵略.
- 分析与儿童的身体限制相关的风险.
- 对限制装置使用的监管要求 (CMS,联合委员会) 的审查.
主要成果:
- 物理约束带有严重的风险的发病率和死亡率,如果不正确使用.
- 对于在儿科患者群体中使用身体限制措施,存在严格的指导方针.
- 适当的培训,评估和文档对于安全的固定装置应用至关重要.
结论:
- 激动的儿科患者的安全有效的管理需要了解缓和升级技术.
- 只有在必要时,并按照严格的指导方针,才应该使用物理约束.
- 遵守推的评估和文档协议对于确保患者安全和遵守法规至关重要.
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