医院内暴力及其对重症监护人员的影响
Gary A Bass1, Cherylee W J Chang2, Julie M Winkle3
1Division of Trauma, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Critical care medicine
|January 18, 2024
概括
医院暴力 (HV) 在全球范围内影响重症监护临床医生,影响患者护理. 缓解策略包括冲突管理培训,沟通和访问控制,未来的AI应用用于犯罪者识别.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 医院暴力 (HV) 是一个普遍的全球问题.
- 它不成比例地影响复杂的护理环境和重症监护临床医生.
- 最近的趋势显示,针对医疗保健专业人员的在线暴力和跟踪事件有所增加.
研究的目的:
- 进行医院暴力 (HV) 的叙事审查.
- 检查HV对重症监护医生的影响.
- 确定HV的风险因素,后果和缓解策略.
主要方法:
- 在PubMed和OVID Medline数据库中进行全面的文献搜索.
- 包括过去15年的英语文章.
- 数据抽象侧重于设置,临床医生类型,影响和响应策略.
主要成果:
- 在全球范围内,HV很普遍,特别是在重症监护室 (ICU).
- 导致HV的因素包括ICU停留时间和冲突;在线暴力和跟踪越来越令人担忧.
- 有效的缓解策略包括冲突管理培训,加强沟通和访客管理.
结论:
- 在全球范围内,医院暴力对临床医生和患者安全构成重大威胁.
- 减少HV需要个人临床医师培训和医疗保健机构内部的系统变化.
- 未来的干预措施可能涉及机器学习,用于早期识别潜在威胁.
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