医院前工作场所暴力 (WPV) 发送警报:预测行为和预防暴力行为
Sarayna S McGuire1,2, Kathryn J Arms1, David T Reiter1
1Mayo Clinic Ambulance Service, Mayo Clinic, MN/WI USA.
Prehospital emergency care
|August 4, 2025
概括
紧急医疗服务 (EMS) 临床医生的工作场所暴力 (WPV) 警报显著减少了以前暴力地址的WPV事件. 这种安全干预表明,针对EMS人员的袭击事件显著减少.
科学领域:
- 紧急医疗服务 紧急医疗服务
- 职业安全 在职业安全.
- 公共卫生 公共卫生
背景情况:
- 工作场所暴力 (WPV) 对紧急医疗服务 (EMS) 临床医生构成重大风险.
- 电子医疗记录 (EMR) 可以捕捉WPV事件,提供针对性干预的数据.
- 实施高风险地址的发送警报旨在减轻针对EMS人员的WPV.
研究的目的:
- 评估WPV发送警报对针对EMS临床医生的WPV率的影响.
- 评估WPV标记系统在医院附属EMS机构的有效性.
主要方法:
- 一项观察性队列研究在两年内比较了警报实施前和之后的WPV率.
- 对于记录有身体暴力的地址,WPV发送警报被激活.
- 用风险差异和置信区间来分析WPV率的变化.
主要成果:
- 总体而言,WPV事件从每100个呼叫中的0.78降至0.53的警报后实施 (RD = -0.25,p < 0.001).
- 身体攻击从每 100 个电话中的 0.30 降至 0.22 (RD = -0.07,p = 0.068).
- 在77个地址上发布了警报,其中2.6%因暴力事件重复而更新,40.3%在12个月没有复发后被删除.
结论:
- 针对先前有身体暴力的地址发送警报与对EMS临床医生的WPV显著减少有关.
- 该WPV标志系统有效地提高了EMS人员的安全.
- 数据驱动的安全干预措施对于保护医院前环境中的医疗保健提供者至关重要.
相关概念视频
01:23Cardiopulmonary Resuscitation III: AED Use
69
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
69
01:22Healthcare Associated Infections II: Preventive Measures
2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
94
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
94
02:09Bystander Effect
9.6K
The discussion of bullying highlights the problem of witnesses not intervening to help a victim. This is a common occurrence, as the following well-publicized event demonstrates. In 1964, in Queens, New York, a 19-year-old woman named Kitty Genovese was attacked by a person with a knife near the back entrance to her apartment building and again in the hallway inside her apartment building. When the attack occurred, she screamed for help numerous times and eventually died from her stab wounds.
9.6K
01:25Cardiopulmonary Resuscitation IV: Pharmacological Management
77
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
77
01:08Obedience
33.1K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
33.1K