急诊科医疗工作场所暴力事件应急预案的建立

The establishment of emergency preplan for workplace violence in emergency department

目的防范急诊科医疗工作场所暴力事件的发生，以减少对医务人员的伤害，维护急诊科正常的医疗秩序。方法对急诊科暴力伤医事件进行回顾性分析，成立根本原因分析（RCA）小组，确定事件根本原因，制定适合急诊科的医疗工作场所暴力事件应急预案。结果根据预案培训医护人员，提高了医护人员的防范意识，暴力伤害事件发生率下降。结论应急预案的建立和培训可以使急诊医护人员对暴力伤害事件的认识和防范能力得到提高，急诊科医护人员安全得到保障。

Objective To prevent the occurrence of violence in the emergency department, to reduce the damage to medical personnel, and to maintain the normal medical order in emergency department. Methods A retrospective analysis of medical incidents of violence in the emergency department has been made. A root cause analysis （RCA） group has been established to explore the root cause of the incident and to make the violence emergency preplan of emergency department. Results Medical personnel have been trained according to the plan. It has improved the awareness of health care workers. The incidence of violent injury incidents decreased. Conclusions The establishment and training of emergency preplan can improve the awareness and prevention ability of emergency medical staff to violence injury. The safety of medical staff in emergency department can be guaranteed.