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J Korean Soc Emerg Med > Volume 26(5); 2015 > Article
Journal of The Korean Society of Emergency Medicine 2015;26(5): 349-357.
응급실 폭력과 폭행대응의 이해 및 변화 조사: 설문조사
서곤1, 배홍철2, 홍준영1, 오제혁1, 이동훈1, 김성은1, 박송이3, 김찬웅1
1중앙대학교 의과대학 응급의학교실
2연세대학교 의과대학 예방의학교실
3중앙대학교 의과대학 내과학교실
Investigation of Emergency Department Violence: Resident Survey
Gon Seo1, Hong Chul Bae2, Jun Young Hong1, Je Hyeok Oh1, Dong Hoon Lee1, Sung Eun Kim1, Song Ee Park3, Chan Woong Kim1
1Department of Emergency Medicine, Chung-Ang University Hospital, Seoul, Korea
2Department of Preventive Medicine, Yonsei University College of Medicinel, Seoul, Korea
3Department of Internal Medicine, Chung-Ang University Hospital, Seoul, Korea
Correspondence  Chan Woong Kim ,Tel: 02) 6299-2551, Fax: 02) 6299-2558, Email: whenever@cau.ac.kr,
Received: May 29, 2015; Revised: June 2, 2015   Accepted: August 11, 2015.  Published online: October 30, 2015.
ABSTRACT
Purpose:
The Korean Intern Resident Association and Korean Society of Emergency Medicine announced the ‘Hospital violence response system’ to secure patient safety and provide a health care provider countermeasures against hospital violence. The aim of this study is to investigate the response to hospital violence in the ER and which measures could improve the current status.
Method:
Emergency medicine residents in the Seoul, Incheon, Kyung-gi area participated in the survey. The questionnaire included 4 categories (1. Awareness of protocol, 2. Experience and countermeasure for hospital violence, 3. Understanding of protocol, 4. Suggestions to improve against hospital violence)
Results:
Among 362 candidates, 236 (65.2%) participated in the survey. Only 7.6% of residents have not experienced hospital violence. In the group of people who were aware of the protocol, participants tended to be more familiar with processes of the hospital violence response protocol, and willing to deal with violence using a better systematic support. People did not counteract to hospital violence because the process was thought to be too complicated. Only 63 participants were actively involved in an official course for countermeasure. Participants suggested that police should deal more appropriately with hospital violence.
Conclusion:
The hospital violence response protocol is thought to have a positive effect on appropriate management of hospital violence. However, a multi-disciplinary approach to hospital violence from the hospital, police, and judicial authority should be developed.
Key words: Violence, Emergency medicine, Internship and residency
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