Development and Evaluation of a Comprehensive Hospital Violence Surveillance Syst

综合医院暴力监控系统的开发和评估

• 批准号: 8288609
• 负责人: LISA A POMPEII
• 金额: $ 35.86万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-01 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8288609
• 关键词: Development; Evaluation; Comprehensive; Hospital; Violence

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.

抽象的 近年来，医院环境中针对工作人员的暴力行为已成为日益严重的公共卫生问题 年，最近的研究中 12 个月的患病率估计为 23% 至 74%。这些估计 考虑到一些研究已经观察到严重的漏报，因此被认为是保守的 医院工作人员经历过的暴力事件通常认为这是“工作的一部分”。暴力 据报道，患者和访客实施的暴力是该地区最常见的暴力类型。 环境。缺乏标准化的监测方法来捕获事件案例 工作场所暴力，以及医院内这些事件的详细情况 环境。如果没有这些数据，政策的制定就会是非正式的或常常基于哨兵事件。 我们建议设计并实施一个全面的监控系统，以系统地服务 捕捉患者和医院访客对医院工作人员施加的工作场所暴力事件。 该系统将涉及通过以下方式设计和实施增强的报告机制： 这些研究医院目前采用的现有系统，以及开发和 实施暴力报告政策和程序。这项研究将在两个大型 医疗系统位于德克萨斯州和北卡罗来纳州。我们将与各个领域的主要利益相关者合作 研究医院制定和实施报告制度和报告政策，以及 向工人宣传和教育新的报告机制。我们将评估以下水平 在每家医院整合强化的工作场所暴力监测系统。本研究 解决了 NIOSH 促进有效职业健康监测的战略目标 雇主。