7月3号下午2点30分的时候，我的患者4088徐妙红来大厅找我做颈椎牵引治疗，在我准备做牵引治疗的时候，我找不到专用的牵引椅，使用大厅里面的PT凳肯定会发生变化，当我看到牵引椅在一位阿姨那里的时候，我就过去请求她可以把牵引椅给我用来做治疗。但是这位阿姨对治疗师的意见很大，开口就是抱怨，讲“圆凳子康复师给我拿走了，这个凳子也不给我坐”。等等一些抱怨，我只能告知，这个椅子是颈椎引专用，其他椅子我使用不配套。阿姨的抱怨让我的患者不高兴，就多讲了几句。阿姨开始退让，要求我扶着阿姨的患者，她再重新找椅子。话音刚了，她就开始脱手，完全没有等我过去扶的时间和机会。由于患者没有腰带等安全措施，且在阿姨脱手，不负责任的情况下，患者膝盖无力，膝盖弯曲。我再过去拉患者还是会产生安全问题。旁边在的护工和我的患者4088赶紧上前帮忙搀扶，我就过去把阿姨未安全放置的患者轮椅推过去，让患者可以坐下来，不至于摔倒在地，产生恶性事件。
        同时我也很后怕，我第一时间是去推轮椅，而不是接手由于阿姨不负责任，提前放手而膝盖发软的患者。患者下肢力量不足，已经想往后倒的情况，如果我是过去拉患者，而且没有腰带等安全措施，我很可能拉不住患者。但是让患者坐轮椅就安全很多。
         但是，阿姨就以我未按照她的意愿，过去拉她的患者为攻击我的首要理由。开始指责我:指责1，这是一个凳子，她坐一下怎么了。指责2，为什么不帮她扶患者。指责3，她刚刚拉起来的患者，我就推轮椅，让患者坐下，她还需要重新拉患者起来。
         她的等等指责，使我和我的患者4088生气，可是我还是想着大厅人多嘴杂，而且有领导在，会管理的情况下，选择拿了牵引椅，不再与阿姨争吵和理论。继续做我的治疗。但是我的退让并没有让阿姨收敛，她继续了长达五分钟的指责。引起了双杠旁边所有人和我的下一个患者家属的讨论，而且愈演愈烈。在阿姨讲出，康复师就是没素质等诋毁性言语的时候，我不再忍让，安顿好我的患者后，我上前吼了阿姨，并要求她就事与我一同和领导说明情况。
        康复大厅的同事看到我生气的情况后，分分过来开始把我劝离，我也很感谢同事的阻止，也是想要对我的保护。也由于我吼了阿姨且有同事的阻止，阿姨不再继续对我的诋毁，对康复治疗师形象的诋毁。
        对于7月3号大厅争吵的原因与事件，特此上报，上报内容都可监控查看，望领导查收。
                                                      上报人:pt组邓思维
                                                      上报时间:7月5号

 

关于7月3日康复大厅冲突事件的上报分析报告 

一、事件核心要素梳理
1. 时间线
- 14:30 徐妙红患者预约牵引治疗 
- 14:35 牵引椅被占用引发首次沟通 
- 14:40-14:45 冲突升级阶段 
- 14:45-14:50 对峙及领导介入阶段 

2. 空间要素 
- 牵引治疗区与双杠训练区交汇处
- 事发时在场人员：2名护工、3组患者家属、值班领导 

3. 关键物证
- 牵引专用椅（编号需核实）
- PT凳与轮椅的使用记录 
- 大厅监控录像（已标注时间码）

二、冲突焦点解析 
1. 设备使用权争议 
- 专用设备与通用设备的优先级问题 
- 设备借用流程的规范性缺失 
- 现场设备调度的应急预案空白 

2. 沟通模式失当 
- 初次沟通时的措辞选择（"专用" vs "治疗需要"）
- 情绪管理的临界点把控 
- 多方在场时的沟通策略调整 

3. 安全责任界定 
- 患者转移过程中的责任划分 
- 安全防护措施的执行标准 
- 突发情况下的应急响应流程 

三、处理过程评估 
1. 专业处置亮点 
- 优先保障患者安全的决策逻辑 
- 协同护工的团队协作意识 
- 及时上报的危机处理意识 

2. 改进空间 
- 初期沟通的缓冲策略 
- 情绪管理的梯度应对 
- 现场证据的即时固定 

四、管理建议 
1. 硬件管理优化 
- 建立设备使用登记制度 
- 设置设备借用电子化流程 
- 增设备用牵引椅存放点

2. 软件管理提升 
- 开展跨科室设备协调培训 
- 制定突发冲突处置SOP 
- 建立患者家属沟通话术库

3. 应急机制建设 
- 安全防护装备标准化配置 
- 多人协作处置预案演练 
- 监控系统实时调取权限优化 

五、后续跟进建议 
1. 证据链完善 
- 调取14:30-14:50监控录像 
- 收集在场人员证言 
- 核查设备使用记录 

2. 人员关怀 
- 对当事治疗师进行心理疏导 
- 组织PT组压力管理培训 
- 建立冲突事件心理支持通道 

3. 制度完善 
- 修订《康复设备使用管理办法》
- 制定《多患者协同处置规范》
- 完善《医患冲突处置流程》

本事件反映出设备管理、沟通机制、应急响应等多维度的管理提升空间，建议结合监控证据链进行深入分析，形成系统性改进方案。附件已附事件时间轴图示及设备分布平面图供参考。



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