从不确定性到自信:为更安全的紧急护理,标准化身体克制 (TAPR) 的团队方法. 一个干预前后质量改进项目
Jonathan Garcia1, Hannah Butler1, Kristin Boggs1
1Harris Health, Ben Taub Hospital, Houston, Texas, United States.
International emergency nursing
|January 9, 2026
概括
身体克制的团队方法 (TAPR) 干预改善了急诊室工作人员在管理暴力患者时的信心和角色明确性. 这种协作框架提高了在患者被束期间的安全性和准备性.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 在紧急护理中管理暴力患者对员工和患者构成重大风险.
- 身体克制的团队方法 (TAPR) 是一种以角色为基础的协作干预方法.
- TAPR旨在改善跨学科协调,以管理具有挑战性的患者接触.
研究的目的:
- 评估TAPR干预措施的有效性.
- 评估TAPR对应急部门安全和团队准备能力的影响.
- 测量临床医生对角色明确性和信心的看法变化.
主要方法:
- 采用了干预前后调查设计.
- 各种角色的急诊室临床医生参加了会议.
- 利克特类型的尺度测量了角色清晰度,伤害预防,协议信心和有效性,并使用描述性统计数据进行分析.
主要成果:
- 干预后,92.5%的人报告了明确的角色分配.
- 77.5%的受访者认为TAPR可以减少受伤的风险.
- 90%的人使用该协议感到自信,87.5%的人同意TAPR在暴力遭遇期间降低了风险.
结论:
- TAPR显著提高了员工的准备能力和专业间的协作.
- 干预增加了工作人员对管理暴力患者的信心.
- 塔普提供了一种标准化的方法,以提高紧急护理的安全性和一致性.
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