针对EMS人员的暴力事件的发生率和预测因素
Jani Paulin1, Mari Lahti2, Heikki Riihimäki3
1Turku University of Applied Sciences and University of Turku, Turku, Finland. jani.paulin@utu.fi.
BMC emergency medicine
|October 24, 2024
概括
对紧急医疗服务 (EMS) 人员的暴力行为记录在0.7%的电子患者护理记录中. 预测因素包括城市环境,周末晚上,男性患者,酒精影响和较高的NEWS2分数,突出了安全挑战.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 犯罪学 犯罪学
背景情况:
- 对紧急医疗服务 (EMS) 人员的暴力行为是一个重大问题,现有的研究通常依赖于自我报告.
- 需要替代数据源来提供更全面的了解这个问题.
研究的目的:
- 调查针对EMS人员的暴力事件发生率和预测因素.
- 使用电子患者护理记录 (ePCR) 文档分析暴力数据.
主要方法:
- 芬兰进行了一项回顾性队列研究,分析了2018年6月至11月的ePCR数据.
- 文本挖掘和手动审查确定了暴力事件及其预测因素.
- 使用多变量后勤回归模型来确定与暴力行为的独立关联.
主要成果:
- 在40263次紧急救援队的任务中,报告的暴力事件占0.7%,主要是口头 (62.3%) 和患者 (98.0%) 的暴力行为.
- 暴力的主要预测因素包括城市地区,周末晚上,男性患者,酒精影响,高NEWS2分数和高级生命支持 (ALS) 单位类型.
- 在报告的暴力事件中有40.7%的警察介入.
结论:
- 电子PCR文档显示,针对EMS人员的暴力报告率很低.
- 暴力是一个复杂的问题,受患者因素,环境条件和情境压力的影响.
- 确保EMS人员安全需要平衡安全措施与患者护理需求.
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