Development and Evaluation of a Comprehensive Hospital Violence Surveillance Syst

摘要 近年来，针对医院工作人员的暴力行为已成为一个日益严重的公共卫生问题 在最近的研究中，12个月的患病率估计在23%到74%之间。这些估计 被认为是保守的，因为有几项研究观察到严重低估了 医院工作人员经常将此视为“工作的一部分”，他们经历了暴力事件。暴力 据报道，由病人和来访者实施的暴力是这一事件中最常见的类型 布景。缺乏标准化的监测方法来捕获 工作场所暴力，以及有关医院这些事件的详细情况 布景。在没有这些数据的情况下，政策制定是非正式的，或者通常是基于哨兵事件。 我们建议设计和实施一个全面的监控系统，以系统地 捕捉病人和医院访客对医院工作人员施加的工作场所暴力事件。 该系统将通过以下方式设计和实施改进的报告机制 这些研究型医院目前的现有系统，以及开发和 实施暴力举报政策和程序。这项研究将在两个大型 位于德克萨斯州和北卡罗来纳州的医疗系统。我们将在每个项目中与关键利益攸关方合作 研究医院，制定和实施报告制度和报告政策，以及 宣传和教育工人关于新的报告机制。我们将评估 在每家医院整合增强的工作场所暴力监测系统。本研究性学习 解决NIOSH促进有效职业健康监测的战略目标 雇主。

Abstract Violence against workers in the hospital setting has become a growing public health concern in recent years, with 12-month prevalence estimates ranging from 23% to 74% in recent studies. These estimates are considered conservative given that several studies have observed significant underreporting of violent episodes experienced by hospital workers who often accept this as "part of the job." Violence perpetrated by patients and visitors has been reported to be the most common type of violence in this setting. There is a lack of standardized surveillance methodology to capture incident cases of workplace violence, as well as details about the circumstances surrounding these events in the hospital setting. Without these data, policy development is made informally or often based on sentinel events. We propose to design and implement a comprehensive surveillance system that serves to systematically capture episodes of workplace violence inflicted on hospital workers by patients and hospital visitors. This system will involve the design and implementation of enhanced reporting mechanisms through existing systems currently in place in these study hospitals, as well as the development and implementation of violence reporting policies and procedures. This study will take place in two large medical systems located in Texas and North Carolina. We will partner with key stakeholders in each study hospital to develop and implement both the reporting system and reporting policies, as well as promote and educate workers about the new mechanisms for reporting. We will assess the level of integration of the enhanced workplace violence surveillance system in each hospital. This research study addresses NIOSH's strategic goal for promoting effective occupational health surveillance conducted by employers.