医疗保健工作人员报告的工作场所暴力事件在患者安全事件报告中
Azade Tabaie1,2, Sonita S Bennett1,3, Alberta K Tran4
1Center for Biostatistics, Informatics, and Data Science, MedStar Health Research Institute, MedStar Health, Columbia, Maryland.
JAMA network open
|November 20, 2025
概括
职场暴力 (WPV) 是医疗保健工作人员的一个重要问题. 这项研究在患者安全事件报告中确定了831起WPV事件,主要涉及患者或访客的口头伤害,护士经常受到影响.
科学领域:
- 医疗保健管理的管理
- 职业安全 在职业安全.
- 公共卫生 公共卫生
背景情况:
- 对医疗保健工作人员的职场暴力 (WPV) 是一个关键的全球关注.
- 患者安全事件 (PSE) 报告为了解WPV动态提供了有价值的数据.
研究的目的:
- 开发一个WPV事件的分类系统.
- 分析PSE报告中记录的WPV事件的特征.
主要方法:
- 一项横截面研究分析了来自美国大西洋中部医疗保健系统的975份PSE报告.
- 开发了一种WPV分类方法,并应用于831个已识别的WPV事件.
- 评价者间可靠性 (IRR) 被评估,达到84%的中位数.
主要成果:
- 在975份分析的PSE报告中,831份 (85.2%) 被归类为WPV事件.
- 大多数WPV涉及患者或访客对工作人员的暴力 (76.7%),口头伤害很常见 (39.8%).
- 护士经常暴露 (33.3%),激动/侵略是主要的导致因素 (23.2%,21.5%).
结论:
- 患者安全事件报告是识别和描述医疗保健工作场所暴力事件的宝贵资源.
- 调查结果强调了患者/参观人员口头伤害的普遍性以及针对性干预的必要性.
- 制定有效的WPV预防策略对于提高前线医疗保健工作者安全至关重要.
相关概念视频
Types of Reports II: Incident or Occurrence Report
1.2K
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.2K
Types of Reports III: Telephone and Verbal Reports
972
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
972
Healthcare Associated Infections II: Preventive Measures
3.6K
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...
3.6K
Ethical Standards I
1.5K
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
1.5K
Types of Reports I: Hands-off Report
1.4K
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
1.4K
SBAR I: Understanding the Concept
5.8K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
5.8K


