医院安全搜索患者与物质相关的遭遇
Sarah J Nessen1, Ashish Thakrar2, Jeanmarie Perrone3
1Perelman School of Medicine, University of Pennsylvania, Penn Center for Emergency Care and Policy Research, Penn Center for Addiction Medicine and Policy, Philadelphia.
JAMA network open
|March 18, 2025
概括
医院房间搜查非法物质往往没有发现没收的物品,并且与患者出院有关. 需要清晰,以患者为中心的搜索协议来平衡安全和福祉.
科学领域:
- 医学社会学 医学社会学
- 医院管理局 医院管理局
- 公共卫生 公共卫生
背景情况:
- 医院的临床医生可以要求对病房进行安全搜查,以寻找涉嫌非法物质使用的情况.
- 搜索旨在提高患者和工作人员的安全性,但其临床结果不明.
研究的目的:
- 调查与物质相关的医院接触的患者间的临床背景和室内搜查结果.
主要方法:
- 一项回顾性队列研究分析了安全事件报告和电子健康记录.
- 从2021年7月到2023年7月的数据,在一个1000床的城市学术医院包括成年患者与物质使用障碍或相关问题.
- 结果包括搜索请求,物品没收和患者指导性出院 (PDD).
主要成果:
- 在与物质相关的遭遇患者的457次室内搜查中,43.6%的结果是没有没收的物品.
- 通常被没收的物品包括注射器,器具,毒品,酒精和烟草.
- 有搜索的患者有显著更高的患者指导出院的几率 (OR, 2.99).
结论:
- 大多数针对非法物质的医院室内搜查都没有发现没收的物品,并且与患者导向的出院增加有关.
- 制定清晰,以患者为中心的医院搜索协议对于支持员工和患者福祉至关重要.
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