在一个城市的美国医院工作人员安全警报横幅计划反对工作场所暴力
Crystal Li1, Stephanie Bentley2, Mangla S Gulati3
1University of Maryland School of Medicine, Baltimore, MD, USA.
Workplace health & safety
|October 5, 2024
概括
马里兰州医院的一项新的员工安全警报 (SSA) 计划使用电子医疗记录来标记暴力行为患者,旨在提高医疗保健工作场所的安全性. 该倡议鼓励记录和采取行动,打击工作场所暴力.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 公共卫生 公共卫生
背景情况:
- 医疗保健机构的职场暴力 (WPV) 是一个全球性问题,在COVID-19后不断升级.
- 尽管WPV流行情况得到了广泛的报道,但标准化的预防政策仍未得到充分发展.
- 本研究详细介绍了马里兰州一个城市医院的WPV计划的开发和实施.
研究的目的:
- 描述一个新的工作场所暴力倡议的开发和实施方法.
- 试点以患者为中心的干预措施,旨在减轻与患者侵略相关的风险.
- 建立一个标准化流程来识别和提醒工作人员潜在的暴力患者.
主要方法:
- 实施了为期6个月的试点计划,使用集成到电子医疗记录 (EMR) 的员工安全警报 (SSA) 工具.
- 该SSA工具标记了有暴力行为史的患者,提醒医疗保健专业人员增加风险.
- 一个审查委员会评估了前线工作人员对SSA横幅的要求,考虑了患者的状态,偏见和沟通因素.
主要成果:
- 在试点阶段,提交了21份关于SSA旗的申请.
- 八个横幅请求被批准,而13个被拒绝.
- 多创伤中期护理单位提交了安全标语的申请人数最多.
结论:
- 该SSA计划代表了以患者为中心的方法来打击医疗保健中的工作场所暴力.
- 在实施安全警报之前,它涉及全面的员工培训和以患者为中心的考虑.
- 该倡议鼓励对不安全事件进行官方记录,并促进系统应对,以提高员工安全.
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