评估儿童精神和行为健康患者和急诊室的提供者安全问题:从系统的角度来看
Anjali Joseph1, Sahar Mihandoust1, Mina Shokrollahi Ardekani1
1Center for Health Facilities Design and Testing, School of Architecture, Clemson University.
Journal of patient safety
|September 23, 2025
概括
在急诊室的儿童精神和行为健康患者面临自伤和逃跑等安全风险. 提高急救部门的安全性需要更好的培训,环境设计和技术.
科学领域:
- 紧急医疗 紧急医疗
- 儿科精神病学 儿科精神病学
- 卫生系统工程 卫生系统工程
背景情况:
- 紧急诊所 (ED) 在管理儿科精神和行为健康 (MBH) 患者方面面临着独特的挑战.
- 现有的ED环境和协议可能无法充分满足这一弱势群体的特定安全需求.
- 在这些复杂的护理环境中,提供者安全也是一个关键问题.
研究的目的:
- 确定ED中儿科MBH患者的关键安全问题.
- 从系统的角度评估提供者的安全问题.
- 在紧急情况下,为改善儿科MBH患者护理提供信息.
主要方法:
- 对55名 ED 工作人员进行了半结构化采访,这些员工来自农村和城市的医院.
- 利用患者安全系统工程倡议 (SEIPS) 框架进行分析.
- 编码的采访数据侧重于物理环境,任务,角色,技术,组织和安全.
主要成果:
- 常见的安全问题包括自我伤害,伤害他人和逃跑.
- 在一般成人ED和带有带的区域,风险增加.
- 环境因素,如布局和接近出口的影响逃跑;EDs可以引发激动.
- 报告指出,他们没有充分的降级训练,也没有有效地使用防护罩.
- 技术障碍包括不可靠的恐慌按.
结论:
- 对于儿科 MBH 患者的 ED 需要采取全面的安全方法.
- 这种方法应该整合政策,环境设计,技术,培训和资源管理.
- 对儿科MBH患者和医疗保健提供者来说,提高安全性至关重要.
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