危险标志作为一种风险减轻策略,用于针对紧急医疗服务的暴力
Justin Mausz1,2, Dan Piquette1, Robert Bradford3
1Peel Regional Paramedic Services, 1600 Bovaird Drive East, Brampton, ON L6V 4R5, Canada.
Healthcare (Basel, Switzerland)
|May 10, 2024
概括
危险标志旨在保护护理人员免受患者暴力的影响. 虽然它可以识别潜在的暴力个体,但标记事件与随后的护理期间的暴力风险更高有关.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 职业安全 职业安全 职业安全
背景情况:
- 护理人员面临越来越多的暴力,冒着身体和心理伤害的风险.
- 危险标志用于提醒紧急医疗服务人员注意有暴力行为史的患者.
- 实施了一个新的暴力报告流程,集成到电子患者护理记录中.
研究的目的:
- 评估危险标志的有效性,作为减轻护理人员暴力风险的策略.
- 在13个月的时间内分析暴力报告和危险标志生成.
主要方法:
- 审查了2021年2月至2022年3月期间提交的502份暴力报告.
- 在20%的报告病例中 (n=99),护理人员监督者生成了危险标志.
- 分析了没有标记案件的原因,以及危险标记与随后的暴力之间的关联.
主要成果:
- 危险标志与随后的护理人员出勤期间暴力风险增加有关 (几率比率[OR]6.21,p < 0.001).
- 由于位置限制或监督员的自由裁量权,案件往往没有被标记.
- 标记过程似乎可靠地识别了对护理人员暴力倾向的个人.
结论:
- 虽然危险标志与随后暴力风险的增加有关,但它是识别潜在暴力患者的可靠方法.
- 需要进一步的研究来完善危险标记协议,以有效地提高护理人员的安全.
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