评估美国医院系统中积极射手准备的情况
Dylan Kahler1, Susan Chishimba2, Jodi L Eisenberg2
1Department of Surgery, Temple University Hospital, Philadelphia, Pennsylvania. ORCID: https://orcid.org/0000-0002-6799-763X.
American journal of disaster medicine
|November 16, 2023
概括
大多数医院都有活跃射击者协议,但很少有人实践或为重症患者制定计划. 这凸显了改善医院安全和为脆弱患者群体做好紧急准备的需要.
科学领域:
- 医疗保健管理局的管理.
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 活动性枪击事件在美国医院中构成重大风险.
- 在此类事件中保护重症和不活动的患者,面临着独特的挑战.
- 现有的理论缓解策略需要对医院准备的现实评估.
研究的目的:
- 评估美国医院当前的活跃射手准备计划.
- 具体评估在主动射击事件期间管理危急病人和不移动患者的协议.
- 发现当前医院安全程序中的差距.
主要方法:
- 在美国医疗保健领域的领导者中进行了一项基于调查的研究.
- 问卷集中在现有的活跃射击者协议上,特别是对于不移动的患者.
- 用频率和百分比总结分析了数据.
主要成果:
- 在接受调查的医院系统中,98%的医院有活跃的射击者协议.
- 只有24%的人报告说,他们有针对重症患者的具体计划.
- 对于静止患者的计划显示出显著的变化,52%的人经常练习演练.
- 之前发生过事件的医院更有可能实践协议.
结论:
- 大多数医院缺乏实践的活跃射手计划,特别是对于不移动的患者.
- 实质上需要加强医院安全和应急响应.
- 目前对脆弱患者的准备工作需要显著改进.
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