打破循环:预防对医疗保健工作者的工作场所暴力
Christina T Vo1,2, Karen Brooks3, Emmanuel King4,5
1Department of Patient Safety, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Journal of hospital medicine
|September 21, 2025
概括
医疗保健中的职场暴力需要积极主动,以患者为中心的解决方案. 医院必须超越反应性措施,防止伤害并提高工作人员和患者的安全.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 临床心理学 临床心理学
背景情况:
- 医疗保健机构中的工作场所暴力 (WPV) 是一个重要且不断升级的问题.
- 现有的针对WPV的医院策略通常依赖于反应性协议.
- 迫切需要创新和积极主动的方法来缓解WPV.
研究的目的:
- 审查有关医院式WPV预防策略的现有文献.
- 通过多方面的方法提出解决WPV的新途径.
- 倡导从反应性到主动性WPV预防模式的转变.
主要方法:
- 关于WPV干预的两项最近研究的综述 (Sahota等人,Littlefield等人. ) 的情况.
- 描述医院自己的途径,涉及以患者为中心的预期指导.
- 实施人员降级培训和行为应急响应系统.
主要成果:
- 萨霍塔和其他人. 使用专门的团队和针对高风险患者的个性化护理计划.
- 利特尔菲尔德和其他人. 采用了以政策为导向的策略,允许破坏性患者的行政出院.
- 描述的途径整合了主动指导,人员培训和应急响应.
结论:
- 有效的WPV预防需要超越反应性措施.
- 积极主动,以患者为基础的解决方案对于成功缓解WPV至关重要.
- 策略的组合,包括预期指导和员工培训,可以提高安全.
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