查工具用于预测儿童医院的患者攻击性行为和员工伤害
Aaron Vaughn1, Nancy M Daraiseh2, Madeline Aeschbury3
1Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 5642 Hamilton Avenue, Cincinnati, OH, 45224, USA; Department of Pediatrics, University of Cincinnati College of Medicine, 3230 Eden Avenue, Cincinnati, OH, 45267, USA.
Journal of psychiatric research
|April 29, 2025
概括
一个高风险通知工具确定了一小群患者,他们负责大多数隔离/限制事件和积极的患者互动. 预防最初的事件可以显著减少所有患者的后续事件,提高安全性.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 临床风险管理临床风险管理
背景情况:
- 对隔离/限制事件 (SREs) 和积极患者相互作用 (API) 的预测性临床工具有限.
- "高风险通知" (HRN) 工具是为了在入院时识别患有SRE和API高风险的患者而开发的.
研究的目的:
- 评估HRN工具在主动识别高风险患者中的实用性.
- 评估最初的SRE/API对后续事件的影响.
主要方法:
- 通过HRN工具 (HRN+或HRN-),在2969次入院中分类了2166名患者.
- 计算了每100个患者日的SRE和API发病率.
- 逻辑回归与随机住院效应模拟的每日风险基于以前的事件.
主要成果:
- HRN+患者 (5.6%的入院) 占API的> 50%和SRE的> 45%.
- 患有先前事件的HRN+患者患有复发性SRE/API的可能性是19-26倍.
- 预防最初的SRE/API显著减少了HRN+和HRN-患者的后续事件.
结论:
- 人力资源网络工具有效地识别了一小部分患者,他们负责不成比例的SRE和API.
- 预防最初的SRE/API对于减少高风险和低风险人群中复发事件至关重要.
- 人力资源网络工具显示了有针对性的安全干预措施的潜力,以提高员工和患者的安全.
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