当前位置： SCI文献检索 > ANNALS OF EMERGENCY MEDICINE期刊下所有文献 > The effect of an education program on violence in the emergency department.

The effect of an education program on violence in the emergency department.

Abstract：

STUDY OBJECTIVE:We examine whether a specific educational effort reduces emergency department violence in the short term and quantify the amount of violence in the ED. METHODS:Cross-sectional prospective surveys were conducted at a tertiary referral center at baseline (1998) and at 3 and 6 months (1999) after the Prevention and Management of Aggressive Behavior Program (PMABP). ED staff on all shifts for 7 alternate days in a 2-week period were surveyed. We measured the total and mean number of physical and violent events per survey. A generalized estimating equation Poisson regression model examined the effect of the program on the numbers of physically and verbally violent events per shift per employee, after adjusting for other covariates. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated. RESULTS:Physical violence events per survey at baseline, 3 months posttraining, and 6 months posttraining were 0.27, 0.10, and 0.21, respectively. The number of reported violent interactions at the same intervals were 49, 19, and 46 (adjusted OR 1.0, 0.35 [95% CI 0.15 to 0.84], and 0.79 [95% CI 0.48 to 1.40]), respectively. Verbal violence events per survey at baseline, 3 months posttraining, and 6 months posttraining were 0.85, 0.31, and 0.51, respectively. The number of reported interactions involving verbal violence at the same intervals were 154, 58, and 69 (adjusted OR 1.0, 0.31 [95% CI 0.21 to 0.46], and 0.47 [95% CI 0.33 to 0.66]), respectively. CONCLUSION:Violent events are frequent in the ED. Education programs may reduce the number of events at least temporarily but do not clearly reduce violence in the long term.

journal_name

Ann Emerg Med

journal_title

Annals of emergency medicine

authors

Fernandes CM,Raboud JM,Christenson JM,Bouthillette F,Bullock L,Ouellet L,Moore C,Violoence in the Emergency Department Study (VITES) Group.

doi

10.1067/mem.2002.121202

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

47-55

issue

1

eissn

0196-0644

issn

1097-6760

pii

S0196064402922559

journal_volume

39

pub_type

杂志文章

相关文献

ANNALS OF EMERGENCY MEDICINE文献大全
  • Annals of Emergency Medicine Journal Club. Journal club: clinical prediction rules.

    abstract：:WHAT IS ALREADY KNOWN ON THIS TOPIC: Previous out-of-hospital studies indicate that selective spinal immobilization may miss patients with cervical injury. WHAT QUESTION THIS STUDY ADDRESSED: Can paramedics apply the Canadian C-Spine Rule in alert, stable, cooperative, blunt-trauma patients to reserve spinal immobiliz...

    journal_title：Annals of emergency medicine

    pub_type： 评论,杂志文章

    doi：10.1016/j.annemergmed.2009.09.015

    authors： Barrett TW,Schriger DL

    更新日期：2009-11-01 00:00:00

  • Do emergency physicians attribute drug-related emergency department visits to medication-related problems?

    abstract：STUDY OBJECTIVE:Adverse drug events represent the most common cause of preventable nonsurgical adverse events in medicine but may remain undetected. Our objective is to determine the proportion of drug-related visits emergency physicians attribute to medication-related problems. METHODS:This prospective observational ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2009.10.008

    authors： Hohl CM,Zed PJ,Brubacher JR,Abu-Laban RB,Loewen PS,Purssell RA

    更新日期：2010-06-01 00:00:00

  • Continuous monitoring of tissue pH with a fiberoptic conjunctival sensor.

    abstract：:To assess the relationship between conjunctival pH (pHcj), arterial pH (pHa), and cardiorespiratory variables during normal and low-flow conditions, hemorrhagic hypotension was induced in eight dogs. Conjunctival pH became significantly less than control values after a hemorrhage volume of 15 mL/kg (P less than .05); ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(85)80630-2

    authors： Abraham E,Fink SE,Markle DR,Pinholster G,Tsang M

    更新日期：1985-09-01 00:00:00

  • Bystander CPR, ventricular fibrillation, and survival in witnessed, unmonitored out-of-hospital cardiac arrest.

    abstract：STUDY OBJECTIVE:To assess whether bystander CPR (BCPR) on collapse affects initial rhythm and outcome in patients with witnessed, unmonitored out-of-hospital cardiac arrest (OHCA). DESIGN:Prospective cohort study. Student's t test, the chi 2 test, and logistic regression were used for analysis. SETTING:Suburban emerg...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(95)70207-5

    authors： Swor RA,Jackson RE,Cynar M,Sadler E,Basse E,Boji B,Rivera-Rivera EJ,Maher A,Grubb W,Jacobson R

    更新日期：1995-06-01 00:00:00

  • National survey of emergency department alcohol screening and intervention practices.

    abstract：STUDY OBJECTIVE:We describe current alcohol screening and brief intervention practices in emergency departments (EDs) at Level I and Level II trauma centers and characterize ED directors' attitudes and perceived barriers associated with these practices among injured patients in the ED. METHODS:ED directors at Level I ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2010.03.004

    authors： Cunningham RM,Harrison SR,McKay MP,Mello MJ,Sochor M,Shandro JR,Walton MA,D'Onofrio G

    更新日期：2010-06-01 00:00:00

  • American Board of Emergency Medicine Report on Residency and Fellowship Training Information (2017-2018).

    abstract：:The American Board of Emergency Medicine (ABEM) gathers extensive background information on emergency medicine-sponsored residency and fellowship programs, as well as the residents and fellows training in those programs. We present the 2018 annual report on the status of US emergency medicine training programs. ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2018.03.037

    authors： Nelson LS,Keim SM,Baren JM,Beeson MS,Carius ML,Chudnofsky CR,Gausche-Hill M,Goyal DG,Kowalenko T,Marco CA,Muelleman RL,Research Committee, American Board of Emergency Medicine.,Johnston MM,Joldersma KB,American Board of Emerg

    更新日期：2018-05-01 00:00:00

  • Boehler's angle: a reappraisal.

    abstract：STUDY OBJECTIVES:To reappraise Boehler's angle and evaluate factors, including centering of the central beam, sex of subjects, and side of the body, that may affect angle measurement. DESIGN:Retrospective clinical review. SETTING:Emergency department, Level I trauma center. TYPE OF PARTICIPANTS:120 consecutive patie...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)81206-5

    authors： Chen MY,Bohrer SP,Kelley TF

    更新日期：1991-02-01 00:00:00

  • Human factors and ergonomics in the emergency department.

    abstract：:Although health care rapidly adopts technologic advances from other fields, it has been slow to incorporate well-established principles from human factors engineering into the health care workplace. This article demonstrates some of those principles by analyzing an all too routine clinical event from a human factors p...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1067/mem.2002.124900

    authors： Wears RL,Perry SJ

    更新日期：2002-08-01 00:00:00

  • Withholding or termination of resuscitation in pediatric out-of-hospital traumatic cardiopulmonary arrest.

    abstract：:This multiorganizational literature review was undertaken to provide an evidence base for determining whether or not recommendations for out-of-hospital termination of resuscitation could be made for children who are victims of traumatic cardiopulmonary arrest. Although there is increasing acceptance of out-of-hospita...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,实务指引,评审

    doi：10.1016/j.annemergmed.2014.01.013

    authors： American College of Surgeons Committee on Trauma.,American College of Emergency Physicians Pediatric Emergency Medicine Committee.,National Association of EMS Physicians.,American Academy of Pediatrics Committee on Pediatric Emergency Medicine.,

    更新日期：2014-04-01 00:00:00

  • Acute HIV Discovered During Routine HIV Screening With HIV Antigen-Antibody Combination Tests in 9 US Emergency Departments.

    abstract：STUDY OBJECTIVE:Newer combination HIV antigen-antibody tests allow detection of HIV sooner after infection than previous antibody-only immunoassays because, in addition to HIV-1 and -2 antibodies, they detect the HIV-1 p24 antigen, which appears before antibodies develop. We determine the yield of screening with HIV an...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.annemergmed.2017.11.027

    authors： White DAE,Giordano TP,Pasalar S,Jacobson KR,Glick NR,Sha BE,Mammen PE,Hunt BR,Todorovic T,Moreno-Walton L,Adomolga V,Feaster DJ,Branson BM

    更新日期：2018-07-01 00:00:00

  • Electrical injuries in a pediatric emergency department.

    abstract：STUDY OBJECTIVE:To examine the spectrum of electrical injuries and develop guidelines for management. DESIGN:Retrospective review of charts compiled during a 6-year period (1988 through 1993). SETTING:Pediatric emergency department. PARTICIPANTS:Seventy-eight patients seen for electrical injuries. RESULTS:Fifty-fou...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(95)70012-9

    authors： Garcia CT,Smith GA,Cohen DM,Fernandez K

    更新日期：1995-11-01 00:00:00

  • Comparison of patient and practitioner assessments of pain from commonly performed emergency department procedures.

    abstract：STUDY OBJECTIVE:To compare patient and practitioner assessments of pain associated with commonly performed emergency department procedures and use of anesthetics before these procedures. METHODS:This was a prospective, observational, cross-sectional study conducted at a university-based ED with a convenience sample of...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：

    authors： Singer AJ,Richman PB,Kowalska A,Thode HC Jr

    更新日期：1999-06-01 00:00:00

  • Painless aortic dissection: an unusual cause of syncope.

    abstract：:Presented is a case of syncope as the initial sign of a painless aortic dissection. The patient was stabilized by percutaneous drainage of a hemopericardium, and then underwent angiography and successful operative repair. Although uncommon, painless aortic dissection should be included in the differential diagnosis of...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(84)80528-4

    authors： Kuhlmann TP,Powers RD

    更新日期：1984-07-01 00:00:00

  • Distance From Freestanding Emergency Departments to Nearby Emergency Care.

    abstract：STUDY OBJECTIVE:The number of freestanding emergency departments (EDs) has increased rapidly in the United States, and there is concern that such entities are located near existing EDs rather than in areas lacking emergency care. In 2018, the Medicare Payment Advisory Commission recommended a reduction in Medicare reim...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2020.07.036

    authors： Freeman RE,Boggs KM,Sullivan AF,Faridi MK,Freid RD,Camargo CA Jr

    更新日期：2021-01-01 00:00:00

  • Lacerations and Embedded Needles Caused by Epinephrine Autoinjector Use in Children.

    abstract：STUDY OBJECTIVE:Epinephrine autoinjector use for anaphylaxis is increasing. There are reports of digit injections because of incorrect autoinjector use, but no previous reports of lacerations, to our knowledge. We report complications of epinephrine autoinjector use in children and discuss features of these devices, an...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2015.07.011

    authors： Brown JC,Tuuri RE,Akhter S,Guerra LD,Goodman IS,Myers SR,Nozicka C,Manzi S,Long K,Turner T,Conners GP,Thompson RW,Park E

    更新日期：2016-03-01 00:00:00

  • Acute barium poisoning with respiratory failure and rhabdomyolysis.

    abstract：:Barium is a divalent alkaline earth metal used as the insoluble sulfate salt in contrast radiography and soluble acid salts in industry. Barium poisoning results from ingestion or inhalation of the acid salts; the most common poisoning occurs after ingestion of the rodenticide barium carbonate (BaCO3). We report seven...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,评审

    doi：10.1016/s0196-0644(05)81393-9

    authors： Johnson CH,VanTassell VJ

    更新日期：1991-10-01 00:00:00

  • Effect of magnesium sulfate on ventricular rate control in atrial fibrillation.

    abstract：STUDY OBJECTIVES:The objectives of this study were to assess the efficacy of parenteral magnesium sulfate (MgSO4), digoxin, and combined MgSO4-digoxin therapies in acutely lowering ventricular rates in patients with newly recognized atrial fibrillation. DESIGN:A randomized, double-blinded, placebo-controlled clinical ...

    journal_title：Annals of emergency medicine

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0196-0644(94)70163-6

    authors： Hays JV,Gilman JK,Rubal BJ

    更新日期：1994-07-01 00:00:00

  • Revisiting the "Golden Hour": An Evaluation of Out-of-Hospital Time in Shock and Traumatic Brain Injury.

    abstract：STUDY OBJECTIVE:We evaluate patients with shock and traumatic brain injury who were previously enrolled in an out-of-hospital clinical trial to test the association between out-of-hospital time and outcome. METHODS:This was a secondary analysis of patients with shock and traumatic brain injury who were aged 15 years o...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.annemergmed.2014.12.004

    authors： Newgard CD,Meier EN,Bulger EM,Buick J,Sheehan K,Lin S,Minei JP,Barnes-Mackey RA,Brasel K,ROC Investigators.

    更新日期：2015-07-01 00:00:00

  • The Effect of Utilization Review on Emergency Department Operations.

    abstract：STUDY OBJECTIVE:Increasingly, hospitals are using utilization review software to reduce hospital admissions in an effort to contain costs. Such practices have the potential to increase the number of unsafe discharges, particularly in public safety-net hospitals. Utilization review software tools are not well studied wi...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2017.03.043

    authors： Desai S,Gruber PF,Eiting E,Seabury SA,Mack WJ,Voyageur C,Vasquez V,Kim HT,Terp S

    更新日期：2017-11-01 00:00:00

  • Toxic shock syndrome: a review.

    abstract：:TSS is a recently described acute febrile illness characterized by hypotension, rash, desquamation, and multisystemic involvement. While most common in menstruating women, TSS also occurs in men and non-menstruating women. It is now known that the disease is caused by one or more toxins produced by the S aureus organi...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,评审

    doi：10.1016/s0196-0644(88)80121-5

    authors： Wright SW,Trott AT

    更新日期：1988-03-01 00:00:00

  • Sequential clinical trials in emergency medicine.

    abstract：:In a traditional clinical trial, a fixed number of patients are evaluated before the data are analyzed. This has the disadvantage that more patients may be enrolled than are necessary to achieve a statistically significant result. Sequential statistical techniques provide a method for the analysis of clinical trials s...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)82570-3

    authors： Lewis RJ,Bessen HA

    更新日期：1990-09-01 00:00:00

  • An analysis of Part II of the National Board of Medical Examiners Test with regard to questions in emergency medicine.

    abstract：:We conducted a study to determine the number of items and successful response rate to questions specific to emergency medicine on the National Board of Medical Examiners Test, Part II (NBME-II). The 1979 and 1983 NBME-II examinations were reviewed by a subcommittee of the Society of Teachers of Emergency Medicine. Ite...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(86)80479-6

    authors： Sanders AB,Burdick WP,Stair TO,Witzke D

    更新日期：1986-01-01 00:00:00

  • The radiopacity of ingested medications.

    abstract：:We investigated prospectively the radiopacity of 312 pills found on a university hospital formulary by first radiographing them through 15 and 25 cm of water to duplicate the radiodensity of the human body. The pills that were radiodense through water were studied in a human cadaver model, and their densities were qua...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(87)80182-8

    authors： Savitt DL,Hawkins HH,Roberts JR

    更新日期：1987-03-01 00:00:00

  • Outpatient treatment of deep venous thrombosis: a clinical care pathway managed by the emergency department.

    abstract：STUDY OBJECTIVE:We evaluate the effectiveness and safety of an outpatient clinical care pathway for the initial treatment of acute proximal lower-extremity deep venous thrombosis (DVT) with low molecular weight heparin (LMWH) managed by the emergency department of 2 affiliated community hospitals. METHODS:This observa...

    journal_title：Annals of emergency medicine

    pub_type： 临床试验,杂志文章

    doi：10.1067/mem.2001.113703

    authors： Vinson DR,Berman DA

    更新日期：2001-03-01 00:00:00

  • The temporal profile of increased transaminase levels in patients with acetaminophen-induced liver dysfunction.

    abstract：STUDY OBJECTIVE:It is often taught that acetaminophen-induced liver dysfunction occurs only after a latent period of 24 to 48 hours. This study was designed to evaluate the temporal profile of transaminase levels in patients with acetaminophen-induced hepatotoxicity. DESIGN:Prospective data collection using standard p...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(95)70237-7

    authors： Singer AJ,Carracio TR,Mofenson HC

    更新日期：1995-07-01 00:00:00

  • Do children require hospitalization after immediate posttraumatic seizures?

    abstract：STUDY OBJECTIVE:We determine whether children with immediate posttraumatic seizures require hospitalization for observation of possible neurologic complications. METHODS:This was a prospective observational cohort study of children younger than 18 years with blunt head trauma resulting in immediate posttraumatic seizu...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/S0196064403012071

    authors： Holmes JF,Palchak MJ,Conklin MJ,Kuppermann N

    更新日期：2004-06-01 00:00:00

  • Out-of-hospital continuous positive airway pressure ventilation versus usual care in acute respiratory failure: a randomized controlled trial.

    abstract：STUDY OBJECTIVE:Continuous positive airway pressure ventilation (CPAP) in appropriately selected patients with acute respiratory failure has been shown to reduce the need for tracheal intubation in hospital. Despite several case series, the effectiveness of out-of-hospital CPAP has not been rigorously studied. We perfo...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.annemergmed.2008.01.006

    authors： Thompson J,Petrie DA,Ackroyd-Stolarz S,Bardua DJ

    更新日期：2008-09-01 00:00:00

  • Serious bacterial infections in infants who have experienced an apparent life-threatening event.

    abstract：STUDY OBJECTIVE:We determine the incidence of serious bacterial infection in infants presenting to the emergency department (ED) with an apparent life-threatening event. METHODS:This was a prospective cohort study of infants younger than 12 months who were treated at an urban children's hospital ED during 1 year and w...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2008.12.037

    authors： Mittal MK,Shofer FS,Baren JM

    更新日期：2009-10-01 00:00:00

  • Association of Antibiotic Choice With Hospital Length of Stay and Risk Factors for Readmission in Patients With Sickle Cell Disease and Acute Chest Syndrome: An Observational Cohort Study.

    abstract：STUDY OBJECTIVE:We determine the association between use of specific cephalosporins and macrolides and hospital length of stay in patients with sickle cell disease (SCD) who are admitted with acute chest syndrome, and determine treatment risk factors for acute chest syndrome-related 30-day readmission. METHODS:Patient...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2020.08.011

    authors： Badaki-Makun O,Casella JF,Tackett S,Tao X,Chamberlain JM

    更新日期：2020-09-01 00:00:00

  • Methanol poisoning as a result of inhalational solvent abuse.

    abstract：:We report an unusual presentation of solvent abuse. A 17-year-old boy was brought to the emergency department after he inhaled fumes from a rag soaked with a carburetor cleaner containing toluene, methylene chloride, and methanol. Considered to be intoxicated from the acute effects of sniffing toluene or methylene chl...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)82467-9

    authors： McCormick MJ,Mogabgab E,Adams SL

    更新日期：1990-06-01 00:00:00