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在美国一家儿童医院,患者对医护人员进行身体暴力
Adrienne G DePorre1,2, Troy Richardson3, Henry T Puls1,2
1Division of Hospital Medicine, Department of Pediatrics, Children's Mercy Kansas City, Kansas City, Missouri, USA.
Journal of hospital medicine
|January 20, 2025
概括
在儿科医院,患者对医疗保健工作者 (HCW) 的暴力往往发生在年轻人被释放时. 许多事件源于试图避免不愉快的经历,强调需要更好的行为健康支持.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 医疗保健工作者安全安全
- 行为健康 行为健康
背景情况:
- 患者对医疗保健工作者 (HCW) 的暴力行为是儿科医疗机构的一个重大问题.
- 了解这些事件的背景,触发因素和管理对于缓解策略至关重要.
研究的目的:
- 描述儿科患者对HCW的身体暴力的时间,环境,先例和管理.
- 分析儿童医院五年内患者暴力的趋势.
主要方法:
- 从2017年到2022年对电子健康记录 (EHR) 的回顾性分析.
- 包括涉及在独立儿童医院住院的青少年的身体暴力事件.
- 提取有关事件时间,患者特征,先例和干预措施的数据.
主要成果:
- 确定了144起暴力事件,涉及75名儿科患者.
- 大多数事件 (66.7%) 发生在患者被医疗清除出院后.
- 大多数事件 (55%) 之前,患者试图避免一种厌恶的经历; 77.1% 接受了缓和药物,47.9% 经历了机械约束.
结论:
- 儿童患者对HCW的暴力行为带来了重大挑战,特别是在行为升级方面.
- 这些发现强调了需要整合,全面的住院患者行为健康团队来管理处于危险的年轻人.
- 对预防策略和定制干预措施的进一步研究是有必要的.
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