Rankins R C, Hendey G W
Department of Emergency Medicine, University of California-San Francisco, University Medical Center, Fresno, USA.
Ann Emerg Med. 1999 Jun;33(6):676-9.
To determine the number of weapons confiscated and assaults reported in an urban county emergency department before and after the implementation of a security system.
This is a retrospective review of security records for a 54-month period from 1992 to 1996. We determined the number of weapons and assaults before and after the implementation of a security system consisting of metal detectors, cameras, limited access, and a manned security booth at the ED entrance. We calculated the rates of weapons confiscated and assaults per 10,000 ED patients treated.
Twenty-four weapons were confiscated before the implementation of the security system, and 40 were confiscated after the implementation ( P<. 001). The percentage of weapons confiscated in the patient care area decreased from 92% to 42% after the security system was installed (P<.001). Seven of the 17 weapons (41%) found in the patient care area after implementation were brought in by ambulance patients who bypassed the security booth and metal detector. The reported assaults per 10,000 patients, however, did not change significantly.
The implementation of an ED security system increased the number and percentage of weapons confiscated before patients were placed in patient care areas, but did not decrease the number of assaults. This emphasizes the importance of continued training of ED personnel in the management of violent patients and potentially violent situations.
确定在实施安全系统前后，城市县级急诊科没收的武器数量以及报告的袭击事件数量。
这是一项对1992年至1996年54个月期间安全记录的回顾性研究。我们确定了在实施由金属探测器、摄像头、限制出入以及在急诊科入口设置有人值守的安保亭组成的安全系统前后的武器数量和袭击事件数量。我们计算了每10000名接受治疗的急诊科患者中被没收武器的比率和袭击事件的比率。
在安全系统实施前没收了24件武器，实施后没收了40件（P<0.001）。安装安全系统后，在患者护理区域没收的武器百分比从92%降至42%（P<0.001）。实施后在患者护理区域发现的17件武器中有7件（41%）是由绕过安保亭和金属探测器的救护车患者带入的。然而，每10000名患者报告的袭击事件数量没有显著变化。
实施急诊科安全系统增加了在患者进入患者护理区域之前被没收武器的数量和百分比，但并未减少袭击事件的数量。这强调了对急诊科人员持续进行暴力患者和潜在暴力情况管理培训的重要性。
