对于紧急医疗服务的侵略性行为风险评估工具
Son Chae Kim1, Kathie Dunn2, Corey Youells2
1School of Nursing, Point Loma Nazarene University, San Diego, California, USA.
概括
紧急医疗服务 (EMS) 的临床医生可以使用新的3项攻击性行为风险评估工具 (ABRAT-EMS) 来识别有暴力风险的患者. 这种经过验证的工具有助于在医院前护理期间实施积极的暴力预防措施.
科学领域:
- 在医院前的护理.
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 紧急医疗服务 (EMS) 的临床医生面临着在职暴力的重大风险,通常与行为健康紧急情况有关.
- 现有的查工具没有被验证用于医院前的环境,这使得临床医生没有足够的资源.
- 这种差距需要开发和验证一种工具,以识别在医院前环境中面临暴力风险的患者.
研究的目的:
- 为了在医院前环境中评估紧急部门 (ABRAT-ED) 修改的7项攻击性行为风险评估工具.
- 确定该工具在识别对EMS临床医生构成暴力风险的患者中的实用性.
- 开发一个简洁有效的查工具,用于医院前暴力风险评估.
主要方法:
- 一项前性研究涉及由私人EMS机构运输的成人和儿科患者.
- 在运输之前,EMS临床医生使用了修改后的ABRAT-ED,并使用暴力事件严重程度工具记录了暴力事件.
- 数据使用后勤回归和接收器操作特征 (ROC) 分析来分析.
主要成果:
- 在9024名可评估患者中,1.16%的人经历了暴力事件.
- 确定了EMS (ABRAT-EMS) 的3项攻击性行为风险评估工具,包括激动,混乱和攻击性/威胁性行为.
- ROC分析显示,在0.89曲线下的面积表现强,在1.0的截止分数下达到82.9%的灵敏度和88.1%的特异性.
结论:
- 3项ABRAT-EMS是一个简短的,经过验证的检查列表,用于识别在EMS遭遇期间潜在的暴力患者.
- 该工具表现出令人满意的灵敏度和特异性,使临床医生能够主动管理风险.
- 实施ABRAT-EMS可以通过有针对性的暴力预防策略来提高临床医生的安全.
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