解决不安全或破坏性住院患者行为和工作场所暴力问题:作为最后手段的行政豁免
Kellie Littlefield1, Stephanie Gilliam1, Stacey Waitt1
1Department of Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Journal of hospital medicine
|July 10, 2025
概括
医疗保健团队可以通过一种新的多学科方法来管理破坏性患者行为. 这一框架通过让管理人员参与执行规则,并在必要时指导行政核准,来支持患者的护理和安全.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 预防工作场所暴力 预防工作场所暴力
背景情况:
- 医疗保健工作者在工作场所遭受暴力的比例很高.
- 破坏性患者行为显著地困扰了护理团队.
- 现有的协议可能无法充分解决不安全的住院患者行为.
研究的目的:
- 开发和实施结构化,多学科的应对不安全的住院患者行为.
- 为了使护理团队能够专注于患者护理,同时保持治疗关系.
- 作为最后手段,为行政 absolutorium 提供一个框架.
主要方法:
- 实施一个结构化,多学科的响应协议.
- 指定非临床管理人员来执行医院规则.
- 制定在反复发生的暴力案件中给予行政批准的指导方针.
主要成果:
- 该框架允许临床团队优先考虑患者护理.
- 尽管存在行为挑战,但可以保持治疗关系.
- 一个明确的行政审批流程可以提高工作场所的安全性.
结论:
- 一种结构化,多学科的方法有效地管理破坏性患者行为.
- 对于安全而言,行政参与规则的执行和核准至关重要.
- 该框架促进了所有利益相关者的更安全的工作和愈合环境.
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