Patient Safety Manager, Department of Mayo Clinic Health System Administration, Mayo Clinic, Rochester, MN.
Clinical Nurse Specialist, Department of Nursing, Mayo Clinic, Rochester, MN.
Nurs Leadersh (Tor Ont). 2020 Sep;33(3):45-54. doi: 10.12927/cjnl.2020.26320.
Workplace violence is one of the most complex and dangerous occupational hazards facing hospital healthcare workers today. The United States Occupational Safety and Health Administration recommends that all hospitals have a violence prevention program. The purpose of this article is to describe the development and implementation of a preparedness program to address violent situations in healthcare as an essential component of workplace safety. The foundational program elements are leadership involvement, policy development, organization assessment, response personnel deployment, education, data repository and culture shift. A triad leadership from patient safety, security and nursing led the program. Key implementation lessons involved coordination of change within and across multiple sites.
工作场所暴力是当今医院医护人员面临的最复杂、最危险的职业危害之一。美国职业安全与健康管理局建议所有医院都应制定暴力预防计划。本文旨在描述制定和实施一项防范医疗环境中暴力事件的准备计划,作为工作场所安全的重要组成部分。基础项目要素包括领导力投入、政策制定、组织评估、应对人员部署、教育、数据库和文化转变。一个由患者安全、安保和护理三方组成的领导层领导了该项目。关键实施经验涉及协调多个地点内部和跨地点的变革。