关键词: code black emergency service hospital occupational injuries risk management security alert workplace violence

来  源:   DOI:10.1177/23779608241261597   PDF(Pubmed)

Abstract:
UNASSIGNED: Workplace violence is endemic, destructive, and escalating in frequency and severity in healthcare. There is a paucity of research on workplace violence in regional and remote hospital emergency departments (EDs).
UNASSIGNED: The aim of this study was to identify the perpetrator and situational characteristics associated with violent incidents in the ED across five regional and remote Australian sites.
UNASSIGNED: This study audited hospital summary data, incident reports, and medical records for a 12-month period in 2018 to examine the perpetrator and situational characteristics of workplace violence incidents in five regional and remote Australian EDs.
UNASSIGNED: Violent incidents were evenly spread throughout the week and across shifts. Most incidents were triaged as urgent, occurred within the first 4 hr, and had multidisciplinary involvement. Almost one in every six incidents resulted in an injury. Perpetrators of violence were predominantly young and middle-aged males and almost always patients, with most presenting with mental and behavioral disorders, or psychoactive substance use.
UNASSIGNED: Understanding the characteristics of perpetrators of violence can help in seeking to tailor interventions to reduce further violent behaviors. These findings carry implications for optimizing patient care, staff safety and resource management.
摘要:
工作场所暴力是地方性的,破坏性,以及医疗保健中频率和严重程度的升级。关于地区和偏远医院急诊科(ED)的工作场所暴力的研究很少。
这项研究的目的是在澳大利亚五个地区和偏远地点确定与ED中暴力事件相关的犯罪者和情况特征。
本研究审计了医院汇总数据,事件报告,和2018年12个月的医疗记录,以检查五个地区和偏远澳大利亚ED的工作场所暴力事件的肇事者和情况特征。
暴力事件在整个星期和轮班中均匀分布。大多数事件被分类为紧急,发生在最初的4小时内,并有多学科参与。几乎每六个事件中就有一个导致受伤。施暴者主要是年轻和中年男性,几乎总是病人,大多数人表现为精神和行为障碍,或使用精神活性物质。
了解暴力肇事者的特征可以帮助寻求量身定制干预措施,以减少进一步的暴力行为。这些发现对优化患者护理具有重要意义,员工安全和资源管理。
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