工作场所暴力和患者管理 紧急部门的时间:一项观察性研究
Chiara Di Giorgio1, Isabella Cucchi1, Marco Mendola1
1Occupational Health Unit, Fatebenefratelli Sacco University Hospital, Milan, Italy.
La Medicina del lavoro
|October 28, 2025
概括
医疗保健中的工作场所暴力正在上升,在急诊室 (ER) 患者的长时间等待增加了侵略风险. 长时间的ER停留显著提高了针对医疗保健工作者 (HCW) 的暴力事件的可能性.
科学领域:
- 医疗保健管理的管理
- 职业安全 在职业安全.
- 紧急医疗 紧急医疗
背景情况:
- 职场暴力是一个日益严重的问题,不成比例地影响着医疗保健部门.
- 在急诊室 (ER) 延长患者管理时间被认为是导致侵略事件的重要因素.
研究的目的:
- 分析2023年针对医疗保健工作者 (HCWs) 的攻击事件的发生率和特征.
- 评估急诊室患者管理时间与暴力风险之间的关系.
主要方法:
- 对2023年针对HCW的攻击事件的"事件报告"表格的分析.
- 在有和没有侵略事件的日子里,ER中的平均患者管理时间的计算.
- 后勤回归用于评估患者住院时间对暴力风险的影响.
主要成果:
- 在2023年,报告有271起暴力事件,口头攻击是最常见的 (82.7%).
- 较长的患者管理时间是关键预测因素,在650分钟后,暴力风险增加了53%,而在150分钟后,暴力风险增加了10%.
- 其他预测因素包括患者/护理人员关系 (30.6%) 和拒绝协议 (27.3%).
结论:
- 医疗保健中的工作场所暴力是多因素的,涉及内部和外部因素的复杂相互作用.
- 了解这些因素对于制定有效的策略来减少和减轻对HCW的暴力行为至关重要.
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