Active shooter in the emergency department: A scenario-based training approach for healthcare workers

Kotora, Joseph G.; Clancy, Terry; Manzon, Licia; Malik, Varun; Louden, Robert J.; Merlin, Mark A.

doi:10.5055/ajdm.2014.0140

Cited by 25 publications

(26 citation statements)

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“…Kotora et al, 52 in-line with the fifth point of the fourth priority focus area ( Table 4 ), recently proposed a simulation training approach using health-care-specific case studies with simulations to enhance behavioral awareness in situations of violence which they see as an essential element of training and education on WPV. The authors constructed a comprehensive training experience to better prepare health care workers for an active shooter (an extreme situation that may occur in the ED) using didactic and scenario-based training methods.…”

Section: Discussionmentioning

confidence: 99%

Interventions to reduce the risk of violence toward emergency department staff: current approaches

Ramacciati¹,

Ceccagnoli²,

Addey³

et al. 2016

OAEM

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IntroductionThe phenomenon of workplace violence in health care settings, and especially in the emergency department (ED), has assumed the dimensions of a real epidemic. Many studies highlight the need for methods to ensure the safety of staff and propose interventions to address the problem.AimThe aim of this review was to propose a narrative of the current approaches to reduce workplace violence in the ED, with a particular focus on evaluating the effectiveness of emergency response programs.MethodsA search was conducted between December 1, 2015 and December 7, 2015, in PubMed and CINAHL. Ten intervention studies were selected and analyzed.ResultsSeven of these interventions were based on sectoral interventions and three on comprehensive actions.ConclusionThe studies that have attempted to evaluate the effectiveness of interventions have shown weak evidence to date. Further research is needed to identify effective actions to promote a safe work environment in the ED.

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Section: Discussionmentioning

confidence: 99%

Interventions to reduce the risk of violence toward emergency department staff: current approaches

Ramacciati¹,

Ceccagnoli²,

Addey³

et al. 2016

OAEM

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“…Given these concerns, existing training for EPs on firearm safety may be inadequate. While there have been effective efforts to develop scenario‐based training for EPs regarding an active‐shooter event, few studies describe educational interventions focusing on EPs’ personal knowledge of safely handling firearms. The sole exception showed improvement in knowledge scores and reported comfort with discussing firearms with patients; however, this pilot study had a small sample size and obtained a limited evaluation of its participants’ baseline familiarity with firearms .…”

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confidence: 99%

Emergency Providers’ Familiarity with Firearms: A National Survey

Ketterer

Poland

Ray

et al. 2020

Academic Emergency Medicine

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Background Emergency providers (EPs) are uniquely placed to advocate for firearm safety and have been shown to be at risk of exposure to firearms in the emergency department (ED). We sought to characterize EPs’ knowledge of firearms, frequency of encountering firearms in the ED and level of confidence with safely removing firearms from patient care settings. Methods This was a survey study of EPs representing medical centers in 22 states. A 15‐item questionnaire was e‐mailed to all EPs at all included institutions. Questions pertained to EPs’ knowledge of firearms, experience with handling firearms, and exposure to firearms while at work. We calculated response proportions with p‐values and conducted association analyses among survey items. Results Of 2,192 survey recipients, 1,074 (49.0%) completed the survey. A total of 635 (59.1%) reported encountering firearms in the ED or its immediate environment at least once per year, and 582 (54.2%) were not confident in their ability to safely handle a firearm found in a patient's possession. Frequency of handling firearms was significantly higher in states in the top quartile for firearm ownership, with 21.5% of respondents reporting handling firearms daily or weekly, compared to 10.9% in bottom‐quartile states. Level of firearms training also differed significantly: 42.1% of respondents in top‐quartile states reported formal training compared to 33.0% in bottom‐quartile states. Increased regional firearm ownership rates were associated with decreased rates of feeling unsafe at work. Conclusions The majority of surveyed EPs reported little experience with handling firearms. Firearm experience was associated with comfort with managing firearms found in patients’ possession. Regional differences were found regarding personal firearm experience and perceptions of workplace safety, both of which were associated with regional variations in firearm ownership. Despite this, no regional differences were found in encountering firearms in or around the ED. EPs may benefit from training on safely handling firearms.

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“…Using simulation resources, researchers addressed different topics of violence, such as patient violence, assault, shooter presence at the workplace, horizontal violence (among nurses), bullying and violence management. (13,14,(27)(28)(29)(30)(31)(32)(33) Patient-generated events were the main topic of violence addressed in the studies (Chart 2).…”

Section: Resultsmentioning

confidence: 99%

“…The six papers indicated some benefit of the simulation, but there were neutral or less favorable results even after implementation. (13,14,(27)(28)(29)33) Category II was composed of three studies that showed SE III and that involved nursing students, workers (including nurses) and mentors. In this case, data measurement was performed during or after intervention.…”

Section: Resultsmentioning

confidence: 99%

Uso da simulação na capacitação sobre violência no trabalho da enfermagem

Bordignon

Monteiro

2019

Acta paul. enferm.

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Resumo Objetivo Avaliar a aplicabilidade e os resultados do uso da simulação nos processos de capacitação de estudantes e profissionais de enfermagem sobre violência no trabalho. Métodos Revisão integrativa da literatura que seguiu recomendações metodológicas para responder à questão: a simulação pode ajudar estudantes e trabalhadores de enfermagem a lidarem com a violência no trabalho? Construiu-se estratégias de busca a partir de operadores booleanos e termos relacionadas à simulação e violência no trabalho, que foram inseridas ao CINAHL, MEDLINE e Proquest Central juntamente com os demais filtros. Dois revisores independentes selecionaram os estudos mediante critérios e houve análise do nível de evidência. Resultados Nove estudos foram selecionados e revelaram a flexibilidade da simulação pela possibilidade de utilizá-la com diferentes propósitos em capacitações. Identificou-se nos estudos que houve o uso de recursos variados de simulação, assim como a abordagem de diferentes tópicos de violência. Os cenários com pacientes ou agressores e a violência com origem no paciente foram os mais frequentes. Os estudos indicaram benefícios da simulação, mas nem todos os resultados foram consensuais. Conclusão A simulação é um recurso com potencial de ajudar estudantes e profissionais de enfermagem a lidarem com casos de violência no trabalho, prevenindo sua ocorrência ou reduzindo danos. Os estudos neste tema são recentes e várias necessidades de pesquisa emanam da aliança entre simulação e violência no trabalho, algumas das quais destacadas nesta revisão e que podem orientar a construção de evidências mais robustas.

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Active shooter in the emergency department: A scenario-based training approach for healthcare workers

Abstract: Didactic lectures, combined with case-based scenarios, are an effective method to teach healthcare workers how to best manage an active shooter incident.

Cited by 25 publications

References 0 publications

Interventions to reduce the risk of violence toward emergency department staff: current approaches

Interventions to reduce the risk of violence toward emergency department staff: current approaches

Emergency Providers’ Familiarity with Firearms: A National Survey

Uso da simulação na capacitação sobre violência no trabalho da enfermagem

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