[[alternative]]The Establishment and Application of a Psychosocial Hazards Management System in Hospital

[[abstract]]在職場環境中，暴力為職業傷害之一，醫療暴力事件的發生伴隨著醫病之間嚴重的健康、安全、及法律訴訟等問題，除遭受暴力的醫護人員造成生理與心理的衝擊外，對醫療照護機構亦造成管理上的風險。本研究目的以運用資通技術，於醫療環境中建構一職場社會心理危害管理系統，並與醫療資訊系統及自動化簡訊服務整合，達到主動、自動化及無縫隙之安全醫療照護服務環境。此職場社會心理危害管理系統，包含特殊關懷個案管理、危害現場處理指引以及危害現場即時求援等三個子系統，以此三個子系統分別提供特殊關懷個案即時就醫動態資訊，協助人員遇到危害事件時之現場應變處理指引，提供危害事件處理小組即時性介入處理危害事件；藉由危害現場即時求援系統之資料，提供醫療機構對職場社會心理危害管理上的檢討與改進依據。藉由資訊科技管理系統功能的建置，提升病人優質的醫療照護服務及提高醫院管理之效率，以降低醫療照護服務工作人員的危害。[[abstract]]Occupational violence is one kind of threat to employees that also produces serious health, safety, and legal problems. The hospital violence against health care workers in the physical and psychological impact, but also the risk of management of health care institution.The objective of this study is to establish a psychosocial workplace hazard management system by using of information and communication technologies in hospital which system is integrated into Hospital Information System and automated Short Message Service, in order to achieve a proactive, automated and seamless medical care services environment. This psychosocial workplace hazard management system is made up of concern Case management system, hazard scene guidance system and hazard scene supporting system. The first system provides the dynamic visit message of the case for the case manager. The second provides the guideline for the staff. And the third provides violence prevention support by the hazard team when hazard event occurs. Finally, our hospital established a systematic management to prevent psychosocial hazards via the information technology management that increases the quality of patients’ care, the efficacy of hospital management and the safety and health of the staff in hospital