医院单位的工作条件和员工受伤风险
Emrah Gecili1,2, Nancy Daraiseh1,2, Cole Brokamp1,2
1Division of Biostatistics & Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States of America.
PloS one
|December 18, 2025
概括
儿科医院的员工面临着高伤害风险. 较长的班次和患者的攻击性增加了受伤的几率,而先前的受伤是强有力的预测因素,突出了针对性安全干预的必要性.
科学领域:
- 职业健康 职业健康 职业健康
- 医疗保健安全 医疗保健安全
- 儿科护理 儿科护理
背景情况:
- 医疗保健工作人员,特别是儿科工作人员,在职业伤害率很高.
- 对于导致这些工作场所伤害的单位级因素的研究有限.
- 这项研究调查了大型儿科住院环境中的风险因素.
研究的目的:
- 探索和量化儿童医院职业伤害的单位级风险因素.
- 确定与员工受伤风险增加相关的特定工作场所条件.
- 为儿童医疗保健机构提供有针对性的安全干预信息.
主要方法:
- 对前性收集的数据 (2014-2017年) 在7929单位日的次要分析.
- 利用伤害监测,事件报告,以及基于单位的患者密度/工作负载指标.
- 雇员混合效应物流回归来评估单位级因素与伤害发生之间的关联.
主要成果:
- 前一天长时间的班次 (>13小时) 与受伤几率增加3-4%相关.
- 同一天更短的班次 (<8.5小时) 显示,受伤几率降低了1%.
- 前一周的受伤是未来受伤的一致和强有力的预测因素.
结论:
- 单位层面的因素,如班次持续时间和先前的伤害,显著影响员工的安全.
- 患者的攻击性是危险因素,尽管考虑到以前的伤害,其重要性会减少.
- 调查结果强调需要设定班次安排限制和近乎失误报告,以提高儿科医院的安全性.
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