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急诊科工作人员对关于主动射击事件的政策和专家意见协议的认知评估。

Assessment of Emergency Department Staff Awareness of Policy and Expert Opinion Protocol Regarding Active Shooter Events.

作者信息

Wallen Michelle F, Drone Emily, Lee Jenny, Ganti Latha

机构信息

HCA Florida Osceola Hospital, Kissimmee, FL, USA.

University of Central Florida College of Medicine, Orlando, FL, USA.

出版信息

Disaster Med Public Health Prep. 2022 Jun 29;17:e168. doi: 10.1017/dmp.2022.116.

Abstract

OBJECTIVE

Active shooter incidents (ASI) have continued to increase over the years, with the majority of attacks occurring in the workplace. Workplace violence in the hospital setting is a growing concern in the emergency department (ED). While ASI are inherently unpredictable by nature, it is prudent to be prepared for these scenarios in the hospital to prevent fatalities. The goal of this study is to access the level of familiarity of emergency department staff with ASI hospital policy and response protocol.

METHODS

A survey of ED employees was distributed using the Qualtrics® platform via an electronic link. The study was approved by the University of Central Florida College of Medicine's IRB.

RESULTS

Only 10% had participated in an ASI drill in the past year. Personnel who answered "no" to the question, , were significantly more likely to feel unprepared for an ASI ( < 0.0001). Those who did receive training for a hospital-based emergency action plan were similarly less likely to feel prepared ( = 0.0002).

CONCLUSION

Most ED providers in the survey reported feeling unprepared to handle an ASI in the emergency department. This study underscores the need to implement regular training on ASIs for ED staff.

摘要

目的

多年来,主动射击事件(ASI)持续增加,其中大多数袭击发生在工作场所。医院环境中的工作场所暴力在急诊科(ED)日益受到关注。虽然主动射击事件本质上具有不可预测性,但医院为这些情况做好准备以防止人员死亡是明智的。本研究的目的是评估急诊科工作人员对主动射击事件医院政策和应对预案的熟悉程度。

方法

通过电子链接使用Qualtrics®平台对急诊科员工进行调查。该研究得到了中佛罗里达大学医学院机构审查委员会(IRB)的批准。

结果

过去一年中只有10%的人参加过主动射击事件演练。对“是否接受过基于医院的应急行动计划培训”问题回答“否”的人员,更有可能对主动射击事件感到没有准备(P<0.0001)。那些没有接受过基于医院的应急行动计划培训的人员同样不太可能感到有准备(P = 0.0002)。

结论

调查中的大多数急诊科工作人员表示对在急诊科应对主动射击事件没有准备。本研究强调了对急诊科工作人员实施主动射击事件定期培训的必要性。

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