Preventing Patient-to-Worker Violence in Hospitals

Judith E. Arnetz · Lydia E. Hamblin · Jim Russell · Mark J. Upfal · MARK R. LUBORSKY · James J. Janisse +1 more

117 citations0/0 files storedJournal of Occupational and Environmental Medicine

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Workplace Violence and Bullying Occupational Health and Safety in Workplaces Patient Safety and Medication Errors

Abstract

OBJECTIVE: To evaluate the effects of a randomized controlled intervention on the incidence of patient-to-worker (Type II) violence and related injury in hospitals. METHODS: Forty-one units across seven hospitals were randomized into intervention (n = 21) and control (n = 20) groups. Intervention units received unit-level violence data to facilitate development of an action plan for violence prevention; no data were presented to control units. Main outcomes were rates of violent events and injuries across study groups over time. RESULTS: Six months post-intervention, incident rate ratios of violent events were significantly lower on intervention units compared with controls (incident rate ratio [IRR] 0.48, 95% confidence interval [CI] 0.29 to 0.80). At 24 months, the risk for violence-related injury was lower on intervention units, compared with controls (IRR 0.37, 95% CI 0.17 to 0.83). CONCLUSIONS: This data-driven, worksite-based intervention was effective in decreasing risks of patient-to-worker violence and related injury.

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1982Out of the Crisis 2016Workplace Violence against Health Care Workers in the United States 2014The aftermath of workplace violence among healthcare workers: A systematic literature review of the consequences 2011Violence against nurses and its impact on stress and productivity.2001Violence towards health care staff and possible effects on the quality of patient care 2005Workplace Violence: A Survey of Emergency Physicians in the State of Michigan 2008Participatory Action Research 2003Workplace violence in Alberta and British Columbia hospitals

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