VIOLENCE IN THE EMERGENCY DEPARTMENT: A NATIONAL SURVEY OF EMERGENCY MEDICINE RESIDENTS AND ATTENDING PHYSICIANS
VIOLENCE IN THE EMERGENCY DEPARTMENT: A NATIONAL SURVEY OF EMERGENCY MEDICINE RESIDENTS AND ATTENDING PHYSICIANS
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DOI：
10.1016/j.jemermed.2009.11.007
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发表时间：
2011-05-01
影响因子：
1.5
通讯作者：
Hobbs, Gerald R.
中科院分区：
文献类型：
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作者：
Behnam, Marcelina;Tillotson, Roger D.;Hobbs, Gerald R.
背景：急诊科暴力是一个众所周知的现象。很少有研究对厄尔尼诺现象的发生率和性质进行评估。研究目的：本研究的目的是评估全国急诊科的暴力发生率。方法：本研究是一项前瞻性、横断面的在线调查，调查对象为急诊住院医师和主治医师。在134个获得认可的美国新兴市场住院医师项目中，有65个项目是随机选择并邀请参加的。结果：共回收问卷272份，其中完成问卷263份（97%）并进行进一步分析。78%（95%置信区间为73-83%）的受访者表示，在过去12个月内至少发生过一次工作场所暴力行为，21%的受访者表示发生过一种以上的暴力行为。职场暴力在男性和女性之间的经历相似（分别为79%对75%；p = 0.65），并且在年接待量超过6万名患者的急诊科中更为常见（82%对67%；p = 0.01）。最常见的工作场所暴力类型是言语威胁（75%），其次是身体攻击（21%），工作场所外的对抗（5%）和跟踪（2%）。在大多数情况下（98%），安全人员是全时可用的，但在病人护理区域，实际存在的可能性最小。大多数受访的EDs没有对武器进行筛查（40%进行了筛查）或配备金属探测器（38%配备了金属探测器）。只有16%的项目提供暴力研讨会，不到10%的项目提供自卫训练。结论：尽管响应我们调查的急诊医生经历过工作场所暴力的发生率很高，但这些受访者中只有不到一半的人在筛查武器或有金属探测器的急诊室工作。更少的医生在提供暴力讲习班或自卫训练的环境中工作。(C) 2011爱思唯尔公司
Background: Violence in the Emergency Department (ED) is a well-known phenomenon. Few studies have been done to assess the incidence and nature of violence in the Ell. Study Objectives: The purpose of this study was to assess the incidence of violence in the ED nationwide. Methods: This study was a prospective, cross-sectional on-line survey of Emergency Medicine (EM) residents and attending physicians. Of the 134 accredited United States (US) EM residency programs, 65 programs were randomly selected and invited to participate. Results: Overall, 272 surveys were returned, of which 263 (97%) were completed and further analyzed. At least one workplace violence act in the previous 12 months was reported by 78% (95% confidence interval 73-83%) of respondents, with 21% reporting more than one type of violent act. Workplace violence was experienced similarly between males and females (79% vs. 75%, respectively; p = 0.65), and was more common in EDs with annual volumes over 60,000 patients (82% vs. 67%; p = 0.01). The most common type of workplace violence was verbal threats (75%) followed by physical assaults (21%), confrontations outside the workplace (5%), and stalking (2%). Security was available full time in most settings (98%), but was least likely to be physically present in patient care areas. The majority of respondent EDs did not screen for weapons (40% screened) or have metal detectors (38% had metal detectors). Only 16% of programs provided violence workshops, and less than 10% offered self-defense training. Conclusion: Despite the high incidence of workplace violence experienced by the emergency physicians who responded to our survey, less than half of these respondents worked in EDs that screened for weapons or had metal detectors. An even smaller number of physicians worked in settings that provided violence workshops or self-defense training. (C) 2011 Elsevier Inc.