Workplace Violence Against Anesthesiologists: We are not Immune to this Patient Safety Threat

Udoji, Mercy A.; Ifeanyi-Pillette, Ifeyinwa C.; Miller, Thomas R.; Lin, Della M.

doi:10.1097/aia.0000000000000237

Cited by 9 publications

(13 citation statements)

References 13 publications

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“…A second area of intervention targets physician-related risk factors of violence and aims at promoting behavioral changes. In general, an inappropriate staff attitude can account for up to 20% of cumulative rates of physical and verbal aggression episodes in ICUs [102,103]. Tailored training initiatives in self-awareness, communications skills, de-escalation techniques, improvement of staff-patient, and inter-staff relationships are necessary.…”

Section: Second Level Of Interventionmentioning

confidence: 99%

Violence Against Physicians in the Workplace: Trends, Causes, Consequences, and Strategies for Intervention

Caruso

Toffanin

Folesani

et al. 2022

Curr Psychiatry Rep

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Purpose Violence against healthcare professionals has become an emergency in many countries. Literature in this area has mainly focused on nurses while there are less studies on physicians, whose alterations in mental health and burnout have been linked to higher rates of medical errors and poorer quality of care. We summarized peer-reviewed literature and examined the epidemiology, main causes, consequences, and areas of intervention associated with workplace violence perpetrated against physicians. Recent Findings We performed a review utilizing several databases, by including the most relevant studies in full journal articles investigating the problem. Workplace violence against doctors is a widespread phenomenon, present all over the world and related to a number of variables, including individual, socio-cultural, and contextual variables. During the COVID-19 pandemic, incidence of violence has increased. Data also show the possible consequences in physicians’ deterioration of quality of life, burnout, and traumatic stress which are linked to physical and mental health problems, which, in a domino effect, fall on patients’ quality of care. Summary Violence against doctors is an urgent global problem with consequences on an individual and societal level. This review highlights the need to undertake initiatives aimed at enhancing understanding, prevention, and management of workplace violence in healthcare settings.

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Section: Second Level Of Interventionmentioning

confidence: 99%

Violence Against Physicians in the Workplace: Trends, Causes, Consequences, and Strategies for Intervention

Caruso

Toffanin

Folesani

et al. 2022

Curr Psychiatry Rep

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“…The need for additional research on the epidemiology and strategies to prevent health care workplace violence has been well documented (Arnetz et al, 2015;Bromley & Painter, 2019;Phillips, 2016). While researchers have focused on specific disciplines such as physicians or nurses (Davidson et al, 2018;Udoji et al, 2019), only a few studies have included all types of HCWs within the organization (Hoffman, 2019;Pompeii et al, 2015 No studies, to our knowledge, have specifically examined workplace-related violent deaths among HCWs. The purpose of this study was to describe the number and types of HCWs experiencing violent deaths in their workplaces and the location within the facility in which the fatal injury occurred using the national reporting system developed and managed by the Centers for Disease Control and Prevention (CDC).…”

Section: Introductionmentioning

confidence: 99%

“…There is growing recognition that workers who feel unsafe in their work environment are less able to provide safe patient care (The Joint Commission, 2018; Perlo et al, 2017). Exposure to violence can cause stress, distraction, and greater possibility of errors in decision-making among health care workers (HCWs; National Quality Forum, 2020; Udoji et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health Care Worker Violent Deaths in the Workplace: A Summary of Cases From the National Violent Death Reporting System

Braun

Hafiz

Singh

et al. 2021

Workplace Health Saf

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Background: Violent workplace deaths among health care workers (HCWs) remain understudied in the extant literature despite the potential for serious long-term implications for staff and patient safety. This descriptive study summarized the number and types of HCWs who experienced violent deaths while at work, including the location in which the fatal injury occurred. Methods: Cases were identified from the Centers for Disease Control and Prevention’s National Violent Death Reporting System between 2003 and 2016. Coded variables included type of HCW injured, type of facility, and location within the facility and perpetrator type among homicides. Frequencies were calculated using Excel. Findings: Among 61 HCW deaths, 32 (52%) were suicides and 21 (34%) were homicides; eight (13%) were of undetermined intent. The occupations of victims included physicians (28%), followed by nurses (21%), administration/support operations (21%), security and support services (16%), and therapists and technicians (13%). Most deaths occurred in hospitals (46%) and nonresidential treatment services (20%). Within facility, locations included offices/clinics (20%) and wards/units (18%). Among homicide perpetrators, both Type II (perpetrator was client/patient/family member) and Type IV (personal relationship to perpetrator) were equally common (33%). Conclusion/ Applications to Practice: Suicide was more common than homicide among HCW fatal injuries. Workplace violence prevention programs may want to consider both types of injuries. Although fatal HCW injuries are rare, planning for all types of violent deaths could help minimize consequences for staff, patients, and visitors.

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“…The current research shows that the incidence of WPV against HCWs has significantly increased since the beginning of the COVID pandemic 3. In addition, pain clinicians are thought to be more vulnerable to WPV due to the innate characteristics of the population they serve; for example, chronic pain patients suffer disproportionately from psychiatric diagnoses such as post-traumatic stress disorder (PTSD), depression, or substance abuse 4–6. Within the past 2 years, there have been several high-profile shootings of physicians at pain clinics by pain patients, bringing this issue into the headlines 7.…”

mentioning

confidence: 99%

Violence in the pain clinic: the hidden pandemic

Fawzy

Siddiqui

Narouze

et al. 2023

Reg Anesth Pain Med

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Workplace violence is any physical assault, threatening behavior or other verbal abuse directed toward persons at work or in the workplace. The incidence of workplace violence in healthcare settings in general and more specifically the pain clinic is thought to be underestimated due to hesitancy to report, lack of support from management and healthcare systems, and lack of institutional policies as it relates to violence from patients against healthcare workers. In the following article, we explore risk factors that place clinicians at risk of workplace violence, the cost and impact of workplace violence, how to build a violence prevention program and lastly how to recover from violence in the practice setting.

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Workplace Violence Against Anesthesiologists: We are not Immune to this Patient Safety Threat

Cited by 9 publications

References 13 publications

Violence Against Physicians in the Workplace: Trends, Causes, Consequences, and Strategies for Intervention

Violence Against Physicians in the Workplace: Trends, Causes, Consequences, and Strategies for Intervention

Health Care Worker Violent Deaths in the Workplace: A Summary of Cases From the National Violent Death Reporting System

Violence in the pain clinic: the hidden pandemic

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