在急救部门实施"STAMP"以预防工作场所暴力:质量改进项目的实施
Journal of emergency nursing
|December 1, 2025
概括
在紧急部门实施STAMP工具显著减少了工作场所暴力 (WPV) 伤害. 这种可访问的WPV预防策略在提高安全方面被证明是非常有用和有效的.
科学领域:
- 医疗保健管理的管理
- 紧急医疗 紧急医疗
- 患者安全 患者安全
背景情况:
- 工作场所暴力 (WPV) 是医疗保健中的一个关键问题,特别是在急诊室 (ED).
- 早期识别表现出暴力行为的患者对于WPV预防和员工安全至关重要.
- STAMP工具 (凝视,音调,焦虑,,步调) 提供了一个结构化的方法来评估ED中的行为线索.
研究的目的:
- 评估实施STAMP工具在分拣中的影响,以减少与WPV相关的员工伤害.
- 评估分拣护士中STAMP工具的可用性,满意度和文档化率.
主要方法:
- 该STAMP工具在美国东南部的三个城市急救中心的分拣中进行了试点测试.
- 与WPV相关的员工伤害在实施前和之后的两年内被追踪.
- 通过调查和重点小组评估可用性和满意度;记录率也受到监控.
主要成果:
- STAMP的实施与WPV相关的员工伤害的显著减少有关 (p < .001).
- 护士报告了高的可用性 (81.5平均分),并发现该工具有帮助 (90%),其中65%的人感到更安全.
- 到第九周,STAMP的记录率超过了90%,在研究期间平均为88.97%.
结论:
- 该STAMP工具是一种易于采用和可持续的方法,用于早期发现和预防EDs的WPV.
- 有效地整合到分拣工作流程中,可以显著减少伤害,改善沟通,提高员工安全.
- 该工具展示了高可用性和一致的文档,支持其在ED环境中防止WPV的作用.
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