Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety

Larson, Lori; Finley, Janet L.; Gross, Tera L.; McKay, Ann K.; Moenck, Julie M.; Severson, Mary A.; Clements, Casey M.

doi:10.1016/j.jcjq.2018.08.011

Cited by 9 publications

(7 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Financial costs of workplace violence include lost time/wages; medical costs of employee injury, disability, and/or death; and attrition. 12 According to a 2017 report commissioned by the American Hospital Association, hospitals spent an estimated $1.1 billion in security and training costs to prevent violence, and an additional $429 million to cover costs such as medical care, staffing, and insurance resulting from violence against staff. 13 , 14 Future research should attempt to characterize the mental and physical toll on the multidisciplinary ED care team to help direct efforts for employee wellbeing.…”

Section: Discussionmentioning

confidence: 99%

Unheard Victims: Multidisciplinary Incidence and Reporting of Violence in an Emergency Department

McGuire¹,

Mullan²,

Clements³

2021

WJEM

View full text Add to dashboard Cite

Introduction Workplace violence in the emergency department (ED) is a serious threat to staff and is likely to go unreported. We sought to identify the incidence of violence among staff at our academic ED over a six-month period. Methods An anonymous survey was sent to all ED staff, asking whether respondents had experienced verbal abuse or physical assault over the prior six months and whether they had reported it. Those working in the department <6 months were excluded from analysis. We used chi-squared comparison to analyze the results. Results We analyzed 242 responses. Overall, 208 (86%) respondents indicated being verbally abused in the preceding six months, and 90 (37%) indicated being physically assaulted. Security officers had the highest incidence of verbal abuse (98%), followed by nursing (95%), patient care assistants (PCA) (90%) and clinicians (90%), phlebotomists (75%), care team assistants (73%), registration staff (50%) and electrocardiogram (ECG)/radiology technicians (50%). Security also had the highest incidence of physical assault (73%), followed by nursing (49%), PCAs (30%), clinicians (24%), phlebotomists (17%), and ECG/radiology technicians (13%). A total of 140 (69%) non-security personnel indicated that they never report incidents of violence. Conclusion Our results indicate that violence in the ED affects more than just nurses and doctors. As health systems seek to improve the safety of their employees in violence-prone areas, it is imperative that they direct initiatives to the entire healthcare team as no one group is immune.

show abstract

Section: Discussionmentioning

confidence: 99%

Unheard Victims: Multidisciplinary Incidence and Reporting of Violence in an Emergency Department

McGuire¹,

Mullan²,

Clements³

2021

WJEM

View full text Add to dashboard Cite

show abstract

“…Also within this guide is the potentially aggressive/violent patient huddle form for patient transfers. The huddle form resulted from an interdisciplinary quality improvement process with the goal of improved patient and staff safety during transfers of potentially violent patients (Larson et al, 2018). These institutional initiatives demonstrate the importance of supporting bedside nurses’ in the critical clinical skills of assessment and management of potential emerging violent situations (Holdsworth et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Assault and Physical Aggression Among Medically Hospitalized Adult Patients Who Had a Behavioral Emergency Call: A Descriptive Study

Derscheid

Lohse

Arnetz

2021

J Am Psychiatr Nurses Assoc

View full text Add to dashboard Cite

BACKGROUND: Health care settings are a primary location for workplace violence that involves clients, but risk factors for behavioral emergencies in medical settings are largely unknown. AIM: This study proposed to identify risk factors for assault and physical aggression among medically hospitalized patients who needed a behavior emergency response team. METHOD: This descriptive study, conducted at a large Midwestern academic medical center, used univariable and multivariable logistic regression to assess relationships between demographic, medical, mental health, and contextual variables with assault and physical aggression. Predictive ability was summarized using area under the receiver operating characteristic curve. RESULTS: Among patients who received a behavior emergency response ( N = 820), 86 (10%) were assaultive. Physical aggression was the most significant predictor of assault. Physical aggression was predicted by older age, male gender, and verbal threats to others. Conversely, internalizing mental health conditions of anxiety, depression, and suicidal ideation were significant for decreased risk of assault and/or physical aggression. Contextual factors, identified as wanting to smoke or leave the hospital, were significantly associated with decreased risk of both assault and physical aggression. CONCLUSION: Health care providers are encouraged to (1) consider the demonstration of physical aggression as a sign to urgently implement precautionary measures for safety, (2) avoid predicting violent situations based on particular medical or mental health conditions alone, and (3) understand that not all disruptive behavior leads to violent situations.

show abstract

“…These actions include the use of comprehensive violence prevention policies, a behavior safety plan and security, transformational leadership styles, conflict resolution strategies, multidisciplinary teams to address the risk of violence during patient interactions, and data collection of violent incidents. [24][25][26][27][28] (See Preventing Workplace Violence. 25,26,[28][29][30][31][32] In partnership with legislators, administrators, and patients, nurses can take a stand against the violence that endangers health care workers.…”

Section: In the Workplacementioning

confidence: 99%

Preventing Violence to Achieve Peaceful and Inclusive Societies

Cipriano

Blanchard

Rosa

2021

AJN, American Journal of Nursing

View full text Add to dashboard Cite

This article is one in a series in which contributing authors discuss how the United Nations (UN) Sustainable Development Goals (SDGs) are linked to everyday clinical issues; national public health emergencies; and other nursing issues, such as leadership, shared governance, and advocacy. The 2030 Agenda for Sustainable Development, a 15-year plan of action to achieve the goals, was unanimously adopted by all UN member states in September 2015 and took effect on January 1, 2016. The Agenda consists of 17 SDGs addressing social, economic, and environmental determinants of health and 169 associated targets focused on five themes: people, planet, peace, prosperity, and partnership. The SDGs build on the work of the UN Millennium Development Goals, which were in effect from 2000 to 2015. The current article highlights SDG 16: "Promote peaceful and inclusive societies for sustainable development, provide access to justice for all, and build effective, accountable, and inclusive institutions at all levels." While the United States is not immune to conditions that threaten civil society, including infractions on democracy and human rights, the country's constitutional ethos holds the fundamental belief that all people should be free from discrimination and the fear of violence, and should be safe regardless of faith, racial or ethnic origin, sexual orientation, gender identity, or socioeconomic status. To that end, the government participates in national and global initiatives designed to prevent violence, combat terrorism and crime, end trafficking and torture, eradicate child and elder abuse, ensure equal access to justice, promote nondiscriminatory laws and policies, and protect participation in governance through such measures as the preservation of voting rights. Among these initiatives is United Nations (UN) Sustainable Development Goal (SDG) 16, whose first target is to "significantly reduce all forms of violence and related death rates everywhere" 1 -a goal echoed by such public health programs as the Department of Health and Human Services' Healthy People 2030 2 and the Robert Wood Johnson Foundation's

show abstract

Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety

Cited by 9 publications

References 9 publications

Unheard Victims: Multidisciplinary Incidence and Reporting of Violence in an Emergency Department

Unheard Victims: Multidisciplinary Incidence and Reporting of Violence in an Emergency Department

Risk Factors for Assault and Physical Aggression Among Medically Hospitalized Adult Patients Who Had a Behavioral Emergency Call: A Descriptive Study

Preventing Violence to Achieve Peaceful and Inclusive Societies

Contact Info

Product

Resources

About