如何防急診暴力（林子堯醫師）

[chienchun]

如何防急診暴力（林子堯）
2013年05月11日 更多專欄文章

法律應確保醫護人身安全。圖為演員陳清達日前在彰基打傷急診醫師。
近日一位陳姓民眾在彰化基督教醫院急診打傷醫師，造成醫師頭部血腫。筆者過去擔任急診第一線醫師時，也有兩次遭病患暴力相向的經驗，因此見此新聞感觸良多。
美國急診醫學期刊曾統計，急診醫師在兩個月內有65％受到病患言語威脅，11.9％受到暴力相對。研究也發現醫護遭逢暴力之後，但其專注力和效率已經明顯下降，而出錯機會也會升高。
以台灣現況而言，儘管醫療品質在國際上公認有一定水平，但不少民眾仍堅信唯有「大廟」之稱的醫學中心才能治療病痛，導致有些醫院的急診永遠人滿為患。

醫護出走惡性循環
無奈的是，因為醫療工作環境惡化，許多醫護人員紛紛出走，剩下的醫護人員也就越來越忙，無法花費更多時間對病患進行安撫和衛教，進而造成一個不可逆的「惡性環環」。
加上部分民眾認為自己是「VIP」，要求醫護人員花費更多不必要的醫療處置和精神在他身上，若不從則吆喝威脅要投訴和找民代來「關切」，也常耗損許多醫護人員的心力。
急診應該要配置適當的保全人力，醫院也應與警方密切保持連線，而如果院方空間配置容許，也應至少有一間封閉且安全的醫療空間，若要隔離或是約束病患時，得以避免干擾到其他醫療處置，或是危及到其他人員的安全。法律應該同時保障民眾的就醫權益和醫護的人身安全。另外適當的急診進出人員管控，避免造成急診壅塞和出入人員過度複雜，也不失為可以參考的改善方式。
http://www.appledaily.com.tw/appledaily ... F%EF%BC%89

[vsdog]

可能要
警察:病患=1:1
才safe吧 (不要啊)

[Ppdtbu]

關急診，醫師不上急診班即可

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