Stowell Keith R, Hughes Nolan P, Rozel John S
Western Psychiatric Institute and Clinic, Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 Ohara Street, Pittsburgh, PA 15213, USA.
Western Psychiatric Institute and Clinic, Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 Ohara Street, Pittsburgh, PA 15213, USA.
Psychiatr Clin North Am. 2016 Dec;39(4):557-566. doi: 10.1016/j.psc.2016.07.003. Epub 2016 Sep 28.
Violence is common in the emergency department (ED). The ED setting has numerous environmental risk factors for violence, including poor staffing, lack of privacy, overcrowding, and ready availability of nonsecured equipment that can be used as weapons. Strategies can be taken to mitigate the risk of violence toward health care workers, including staff training, changes to the ED layout, appropriate use of security, and policy-level changes. Health care providers in the ED should be familiar with local case law and standards related to the duty to warn third parties when a violent threat is made by a patient.
暴力行为在急诊科很常见。急诊科环境存在诸多导致暴力的风险因素,包括人员配备不足、缺乏隐私、过度拥挤,以及可被用作武器的无安全防护设备随手可得。可以采取一些策略来降低医护人员遭受暴力的风险,包括员工培训、改变急诊科布局、合理利用安保措施以及政策层面的改变。急诊科的医护人员应该熟悉当地与患者发出暴力威胁时向第三方发出警告的义务相关的判例法和标准。