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通过实施行为响应小组,减少儿童医院的员工因患者侵略性行为而受伤
Julia A Martorana1, Debrea M Griffith2, Carmel Eiger3
1From the Center for Quality and Safety, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Ill.
在儿童医院实施行为响应小组 (BRT) 显著减少了员工因患者攻击性行为而受伤. BRT模型通过提供主动和反应式支持来提高员工的安全性.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 职业健康 职业健康 职业健康
背景情况:
- 住院儿童的攻击性行为对医疗保健工作人员构成风险.
- 员工因患者的攻击而受到的伤害是儿科护理机构的一个重大问题.
研究的目的:
- 评估行为响应小组 (BRT) 在减少员工伤害方面的有效性.
- 为了减少与儿童医院的侵略性患者行为相关的每月员工伤害.
主要方法:
- 一个多学科团队使用质量改进方法实施了BRT.
- 收集了职业健康和安全管理局 (OSHA) 可记录的伤害和急性护理访问的数据.
- 该研究比较了3岁及以上患者在BRT实施前和之后的受伤率.
主要成果:
- 在实施后,OSHA可记录的伤害之间的最大几天从163日增加到271天.
- 每月员工受伤率从每千次急症护理诊所的3.4个下降到1.7个.
- 该BRT模型每月平均涉及101个主动回合和17个反应回应.
结论:
- BRT模型有效地减少了与积极的患者行为相关的员工伤害.
- 实施BRT是提高儿科医院工作场所安全的推策略.
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