Emergency Department Security Programs, Community Crime, and Employee Assaults

Blando, James D.; McGreevy, Katharine; O'Hagan, Emily; Worthington, Karen; Valiante, David; Nocera, Maryalice; Casteel, Carri; Peek‐Asa, Corinne

doi:10.1016/j.jemermed.2008.06.026

Cited by 19 publications

(22 citation statements)

References 7 publications

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“…Blando et al, Casteel et al, and McPhaul et al found variation in healthcare facilities' ability to control access by locking doors, having visitors check-in upon arrival, and separating employee work stations from patient treatment areas reflecting an impracticality to rely exclusively on this as a protective measure [15][16][17] . Another measure for violence prevention is the use of security officers.…”

Section: Organizational and Personal Protective Measuresmentioning

confidence: 99%

“…Examples of personal protective measures that healthcare employees can use are blowing an emergency whistle, activating a portable panic alarm, and pushing a stationary panic alarm [15] . While protective measures are essential to the protection of healthcare employees, the availability and use of organizational and personal protective measures are not known in a large sample of healthcare employees working in the United States.…”

Section: Organizational and Personal Protective Measuresmentioning

confidence: 99%

“…Similar findings for medical healthcare settings were not found indicating that organizational protective measures may be in place more frequently for mental health settings compared to medical healthcare settings. Blando et al reported that the use of personal alarms were only used by medical employees in 4% (n = 2) of New Jersey emergency departments [15] . With work-related victimization occurring more often in psychiatric settings, it is likely that the use of personal protective measures such as personal alarms would be larger by mental health field employees compared to medical field employees.…”

Section: Hypothesesmentioning

confidence: 99%

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Healthcare employees’ work-related victimization and use of preventive measures

Gillespie

Fisher

2014

JHA

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Work-related victimization affects 14.6 per 10,000 employees in the United States annually. Little is known about work-related victimization in healthcare or the preventive measures taken by employees and employers. A secondary analysis was conducted of the Workplace Risk Supplement (WRS) data from 4,213 healthcare employees. Mental health field employees reported a significantly higher percentage of being victimized while at work, worrying about victimization, having knowledge of rules or guidelines addressing workplace violence, and receiving education/ information on workplace violence compared to medical field respondents. Implications for hospital administrators based on study results are presented.

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Section: Organizational and Personal Protective Measuresmentioning

confidence: 99%

Section: Organizational and Personal Protective Measuresmentioning

confidence: 99%

Section: Hypothesesmentioning

confidence: 99%

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Healthcare employees’ work-related victimization and use of preventive measures

Gillespie

Fisher

2014

JHA

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“…Hospital-based shootings nearly doubled from 2000–2011 3. Within the hospital, the leading area for violence is the emergency department (ED) given its 24/7 operations in patient care and as the admissions gateway,4 with assault rates as high as 1.1 per 100,000 ED employee hours per year 5. A study of EDs in Cincinnati reported 98% of nurses and 96% of physicians had been verbally abused, and 67% of nurses and 51% of physicians had been physically abused while at work 6.…”

Section: Introductionmentioning

confidence: 99%

Security, Violent Events, and Anticipated Surge Capabilities of Emergency Departments in Washington State

Weyand¹,

Junck

Kang

et al. 2017

WestJEM

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IntroductionOver the past 15 years, violent threats and acts against hospital patients, staff, and providers have increased and escalated. The leading area for violence is the emergency department (ED) given its 24/7 operations, role in patient care, admissions gateway, and center for influxes during acute surge events. This investigation had three objectives: to assess the current security of Washington State EDs; to estimate the prevalence of and response to threats and violence in Washington State EDs; and to appraise the Washington State ED security capability to respond to acute influxes of patients, bystanders, and media during acute surge events.MethodsA voluntary, blinded, 28-question Web-based survey developed by emergency physicians was electronically delivered to all 87 Washington State ED directors in January 2013. We evaluated responses by descriptive statistical analyses.ResultsAnalyses occurred after 90% (78/87) of ED directors responded. Annual censuses of the EDs ranged from < 20,000 to 100,000 patients and represented the entire spectrum of practice environments, including critical access hospitals and a regional quaternary referral medical center. Thirty-four of 75 (45%) reported the current level of security was inadequate, based on the general consensus of their ED staff. Nearly two-thirds (63%) of EDs had 24-hour security personnel coverage, while 28% reported no assigned security personnel. Security personnel training was provided by 45% of hospitals or healthcare systems. Sixty-nine of 78 (88%) respondents witnessed or heard about violent threats or acts occurring in their ED. Of these, 93% were directed towards nursing staff, 90% towards physicians, 74% towards security personnel, and 51% towards administrative personnel. Nearly half (48%) noted incidents directed towards another patient, and 50% towards a patient’s family or friend. These events were variably reported to the hospital administration. After an acute surge event, 35% believed the initial additional security response would not be adequate, with 26% reporting no additional security would be available within 15 minutes.ConclusionOur study reveals the variability of ED security staffing and a heterogeneity of capabilities throughout Washington State. These deficiencies and vulnerabilities highlight the need for other EDs and regional emergency preparedness planners to conduct their own readiness assessments.

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“…Such jobs, in which health care providers faced with nervous and worry patients or their relatives, are very prone to WPV (Hahn, 2013;Koritsas, 2010) and serious occupational health problems (Blando et al, 2012), resulting in individual (psychological and physical), social and organizational consequences (Shahzad, 2014;Steffgen, 2008). Including the consequences of workplace violence, decrease of well-being and quality of life of staffs (Petzäll, 2011) as well as care of clients (Gates, Gillespie, & Succop, 2011).…”

Section: Introductionmentioning

confidence: 99%

Workplace Violence Process against Emergency Medical Services Staffs: A Grounded Theory

Pourshaikhian¹,

Khorasani-Zavareh²,

Gorji³

et al. 2016

GJHS

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Background: Workplace Violence (WPV) is an undesirable social phenomenon that threatens patients and staff safety and work environments. Despite the high prevalence of WPV and its serious consequences, limited studies have been conducted on its roots and formation in pre-hospital emergency. The aim of this study was to explore and explain the process of workplace violence against emergency medical service personnel. Methods:This qualitative study was performed using grounded theory approach in 2015. The study participants included 17 Emergency Medical Service (EMS) staffs working in Tehran and Guilan provinces, Iran. Data were collected by semi-structured interviews and analyzed using the Strauss/Corbin approach and constant comparative method. The paradigm model of WPV is presented in this study.Results: "Serving within the context of workplace violence" was presented as the main theory. Five main groups of paradigm model theory were identified as triggers, context, and intensifiers of violence, copying strategies, and outcomes. The important consequences of violence include physical and psychological health injury of staff in the process of service delivery. Conclusions:Despite their repeated exposure to violence and its consequences, EMS staffs usually fulfill their main role and perform their tasks. Training of stress management, familiarizing the community with the responsibilities of EMS, reducing response time, creating efficient communication systems, using appropriate facilities and manpower, training violence control, improving employees' job satisfaction, and coordinating cooperation with the police can reduce workplace violence. The supporting of the WPV victims is essential to improve the health and safety of EMS staff.

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Emergency Department Security Programs, Community Crime, and Employee Assaults

Cited by 19 publications

References 7 publications

Healthcare employees’ work-related victimization and use of preventive measures

Healthcare employees’ work-related victimization and use of preventive measures

Security, Violent Events, and Anticipated Surge Capabilities of Emergency Departments in Washington State

Workplace Violence Process against Emergency Medical Services Staffs: A Grounded Theory

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