在急诊部引入Broset暴力清单:一个回顾性队列研究
Biswadev Mitra1,2, Kate Settle1, Christine Koolstra1
1Emergency and Trauma Centre, The Alfred Hospital, Melbourne, Victoria, Australia.
Emergency medicine Australasia : EMA
|December 13, 2024
概括
布罗塞特暴力检查清单 (BVC) 显示了在紧急部门 (ED) 识别暴力风险的高特异性,但敏感度较低. 它的使用与警报的增加相关,这表明可以直观地识别高风险患者.
科学领域:
- 紧急医疗 紧急医疗
- 患者安全 患者安全
- 临床风险评估临床风险评估
背景情况:
- 暴力和侵略在急诊室 (ED) 中构成重大风险.
- 布罗塞特暴力清单 (BVC) 是一个旨在分层暴力风险的工具.
- 了解BVC的初始实施和有效性对于改善ED安全至关重要.
研究的目的:
- 评估在两个急诊室 (ED) 首次采用布罗塞特暴力清单 (BVC) 的情况.
- 检查BVC完成和潜在或实际暴力的意外警报之间的关联.
- 评估BVC在识别有侵略风险的患者方面的表现.
主要方法:
- 对12个月内从成人和儿科ED收集的例行数据进行了回顾性审查.
- 包括108,274名患者的表现,其中追踪了BVC完成.
- 分析了BVC完成率及其与无计划暴力警报的相关性,计算了灵敏度和特异性.
主要成果:
- 在包含的演讲中,BVC完成了39.4%.
- 截止分数为3,BVC在检测暴力警报方面表现出高特异性 (99.2%),但低灵敏性 (15.6%).
- 完成BVC独立地与37%的无计划暴力警报增加有关 (aOR1.37).
结论:
- 布罗塞特暴力检查清单 (BVC) 对暴力和侵略非常具体,但缺乏敏感性.
- BVC完成与更多的无计划暴力警报相关,表明潜在的直观识别处于风险中的个人.
- 需要进一步的研究来优化BVC实用性,并制定预防ED的暴力预防策略.
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