多学科的致命手段安全咨询设计和实施:儿童医院的培训和障碍的识别
Cassandra L Stegall1,2, Brendon Carnell3, Jamie M Golden4
1Department of Pediatric Emergency Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA. clstegall92@gmail.com.
Injury epidemiology
|August 29, 2025
概括
在儿童创伤环境中实施致命手段安全咨询 (LMSC) 改善了关于安全药物储存的讨论. 枪支安全咨询需要进一步改进, 以加强自杀预防策略.
科学领域:
- 预防儿童受伤
- 公共卫生干预措施
- 自杀预防策略
背景情况:
- 获得致命手段是导致自杀的重要因素.
- 致命手段安全咨询 (LMSC) 是一种预防伤害的策略.
- 在此之前,LMSC尚未在儿童创伤环境中进行评估.
研究的目的:
- 设计和实施标准化的LMSC协议,用于儿童患者的出院教育.
- 在紧急,创伤和住院精神病诊所评估LMSC.
- 通过预防伤害教育提高患者安全.
主要方法:
- 从2023年7月到2024年2月进行的单中心质量改进研究.
- 实施基于电子病历 (EMR) 的LMSC协议,包括查问题和提供者培训 (CALM模块,教育视频).
- 免费分发有线枪锁和药物锁盒给家庭;为医疗保健提供者进行培训前和后的调查.
主要成果:
- 增加与护理人员关于安全储存药物的讨论 (p=0. 029).
- 关于安全存放枪支或刀具的讨论没有显著差异.
- 观察到有线枪锁分布的临床频率增加.
结论:
- 在三个儿科医院成功实施了标准化的LMSC协议.
- 在LMSC中发现了供应商自我报告的改善.
- 鉴定到的障碍为改善未来的预防性患者护理提供了机会.
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