从损伤程度评定透视工作场所身体暴力事件的医院管理

Perspective Hospital Administration of Workplace Physical Violence by Degree of Injury

目的本研究旨在促进医院对于工作场所身体暴力事件的管理,更好地维护医务工作者的合法权益。方法本研究对各级医院进行分层抽样调查、采用前瞻性研究,对南充市三区各级医院2008年度在医院工作场所身体暴力事件中受伤医务人员的损伤类型、损伤程度及损伤时间等各项指标进行调查分析。结果医院工作场所暴力事件共4例,均发生在三甲医院,伤后均未作临床法医学检查。2例轻伤,1例轻微伤,1例不能评;4例钝器伤,其中3例徒手伤,1例棍棒伤;2例发生在病房,1例在医院大门处。结论医院管理者和伤者普遍缺乏对身体暴力事件正确应对的意识及知识,增强医务工作者的法医学知识,尤其是医院管理部门工作人员的法医学知识迫在眉睫。

Objective To advance the management of workplace physical violence,and safeguard the interests of medical works.Methods after stratified sampling,Comprehensive perspective study were carried out to collect data on degree and type of workplace Physical violence for the 12 months of 2008 in 10 hospitals,Nanchong city,Sichuan province.Results 4 events of workplace Physical violence were collected and they all came from the general hospital grade A of level tree.Forensic examination weren＇t provided to be injured medical workers after the event.From the 4 cases,2 minor injuries,1 slight injury,1 could not be evaluated.4 cases all are blunt force injury,then,3 injuries by body,1 injury by club.2 to 4 were at hospital room,1 to 4 was at the gate of hospital.Conclusions Results show awareness and knowledge of the correct response to workplace physical violence in hospital administrator and injured medical workers are famine.So,it is very urgent to strengthen the knowledge of forensic medicine in medical workers,especially in hospital administrator.