淺談台灣急診暴力

Emergency Room Violence in Taiwan

林作彥(Tso-Yen Lin) ； 彭素珍(Su-Chen Peng)

《台灣急診專科醫師期刊》 4卷3期 (2012/09) Pp. 61-65

https://doi.org/10.29749/JTCEP.201209.0001

摘要

急診暴力事件不只威脅醫護人員人身安全，更可能延誤急重症患者的搶救，衛生署雖針對急診暴力事件提出解決方案，但卻無法實際有效杜絕急診暴力。本文參考香港、日本及加拿大之作法，建議立法部門應將醫院施暴者納入公共危險罪，並由告訴乃論改為公訴罪以達嚇阻作用；醫院方面除建議提升硬體建設與保全設備外，更需加強防暴教育與訓練、提高急診相關人員危機意識及成立危機快速應變小組，以有效率與有經驗之方式化險為夷。唯朝急診「零暴力，零風險」目標邁進，才能提供給急診相關人員一個安全的工作環境。

關鍵字

急診暴力 ； 公共危險 ； 告訴乃論 ； 公訴罪

並列摘要

Personal threats to safety not only threaten emergency medical staff, but are also likely to delay rescue of other acutely and critically ill patients. Although the Department of healthcan issue guidelines for emergency situations, it cannot actually effectively end violence in the emergency department (ED). This article references hospitals in Hong Kong, Japan, and Canada and suggests that the government consider ED violence an offense against public safety. The current policy of not arresting those who commit violent acts in the ED should be changed, and perpetrators should be charged with an indictable crime to achieve a deterrent effect. In addition to upgrading, hospitals must also step up teaching and training of security personnel to deal with these situations, and set up an experienced crisis management group to create a safe environment. There should be a ”zero violence, risk-free” goal to provide emergency personnel a safe working environment.

並列關鍵字

violence in emergency department ； offenses against public safety ； no trial without complain ； indictable crime