Application and Implementation of the Hazard Risk Matrix to Identify Hospital Workplaces at Risk for Violence
Application and Implementation of the Hazard Risk Matrix to Identify Hospital Workplaces at Risk for Violence
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DOI：
10.1002/ajim.22371
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发表时间：
2014-11-01
影响因子：
3.5
通讯作者：
Essenmacher, Lynnette
中科院分区：
文献类型：
--
作者：
Arnetz, Judith E.;Hamblin, Lydia;Essenmacher, Lynnette
预防工作场所暴力伤害的一个主要障碍是缺乏分配有限的预防资源的优先次序的方法。危害风险矩阵用于对医院发生暴力的可能性和严重程度进行分类，以便确定安全干预单位的优先次序。方法暴力发生概率基于暴力发生率；严重程度是基于对暴力相关伤害的时间管理损失索赔。危害风险矩阵的单元格中填充了按低、中、高概率和严重程度分类的医院单位。医院利益相关者在分类后审查了矩阵，以解决可能的漏报混淆。结果41个医院单位在严重程度和概率上均被划分为中、高级别，并被优先纳入即将开展的干预措施。在精神科护理病房发生的可能性和严重程度最高。结论该风险分析工具可为医院管理人员选择预防暴力伤害的优先单位提供参考。点。中华医学杂志，2014,37(7):1276-1284。(c) 2014 Wiley期刊公司
BackgroundA key barrier to preventing workplace violence injury is the lack of methodology for prioritizing the allocation of limited prevention resources. The hazard risk matrix was used to categorize the probability and severity of violence in hospitals to enable prioritization of units for safety intervention.MethodsProbability of violence was based on violence incidence rates; severity was based on lost time management claims for violence-related injuries. Cells of the hazard risk matrix were populated with hospital units categorized as low, medium, or high probability and severity. Hospital stakeholders reviewed the matrix after categorization to address the possible confounding of underreporting.ResultsForty-one hospital units were categorized as medium or high on both severity and probability and were prioritized for forthcoming interventions. Probability and severity were highest in psychiatric care units.ConclusionsThis risk analysis tool may be useful for hospital administrators in prioritizing units for violence injury prevention efforts. Am. J. Ind. Med. 57:1276-1284, 2014. (c) 2014 Wiley Periodicals, Inc.