MANAGING LAW ENFORCEMENT PRESENCE IN THE EMERGENCY DEPARTMENT: HIGHLIGHTING THE NEED FOR NEW POLICY RECOMMENDATIONS
MANAGING LAW ENFORCEMENT PRESENCE IN THE EMERGENCY DEPARTMENT: HIGHLIGHTING THE NEED FOR NEW POLICY RECOMMENDATIONS
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DOI：
10.1016/j.jemermed.2015.04.001
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发表时间：
2015-10-01
影响因子：
1.5
通讯作者：
Mowafi, Hani
中科院分区：
文献类型：
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作者：
Tahouni, Morsal R.;Liscord, Emory;Mowafi, Hani
背景：急诊科（艾德）是大部分患者进入卫生保健系统的门户。对于人际暴力的受害者和施暴者来说尤其如此。执法人员（LEP）经常陪同患者到艾德或在患者艾德停留期间或随后住院期间寻求接触患者。紧急护理和刑事调查的时间敏感性激励医护人员和LEP，并可能导致潜在的利益冲突，在ED. Objectives：我们希望研究患者，供应商和LEP之间的关系，在艾德，这些互动对患者的护理的潜在影响。本文介绍了相关的文献和政策考虑的审查，以及提供指导，制定这样的政策ED。讨论内容：医院、急诊室和创伤复苏室是高度管制的环境，但LEP在很大程度上超出了医疗机构的道德和制度准则。当LEP存在于艾德中时，存在许多潜在的冲突领域，这些冲突可能对患者护理、提供者责任和LEP疗效产生不利影响。患者对艾德人员和LEP之间合作的看法可能会影响急诊患者护理。结论：有必要制定医院政策来管理ED中患者、紧急医疗保健提供者和LEP之间的互动。（C）2015 Elsevier Inc.
Background: The Emergency Department (ED) is the portal of entry to the health care system for a large percentage of patients. This is especially true for victims and perpetrators of interpersonal violence. Frequently, law enforcement personnel (LEP) accompany patients to the ED or seek access to patients during their ED stay or subsequent hospitalization. The time-sensitive nature of both emergency care and criminal investigation motivates both health care personnel and LEP, and can lead to potential conflicts of interest regarding access to patients in the ED. Objectives: We hope to examine the relationship among patients, providers, and LEP in the ED, and the potential impact these interactions have on patient care. This article presents a review of the relevant literature and policy consideration as well as provides guidance on the development of such policies for EDs. Discussion: Hospitals, EDs, and trauma resuscitation rooms are highly regulated environments, but LEP largely fall outside the ethical and institutional guidelines of health care institutions. Many potential areas of conflict exist when LEP are present in the ED that can have detrimental effects on patient care, provider liability, and LEP efficacy. Patients' perceptions of collaboration between ED personnel and LEP can compromise emergency patient care. Conclusion: There is a need for hospital policies to govern interactions among patients, emergency health care providers, and LEP in the ED. (C) 2015 Elsevier Inc.