Hospital employee assault rates before and after enactment of the California Hospital Safety and Security Act

Details

• Personal Author:
  Blando, James ; Casteel C ; Goldmacher S ; Harrison, Robert ; Nocera M ; O'Hagan E ; Peek-Asa, Corinne ; Smith JB ; Valiante D
• Description:
  Purpose: This study examines changes in violent event rates to hospital employees before and after enactment of the California Hospital Safety and Security Act in 1995. Methods: We compared pre- and post-initiative employee assault rates in California (n = 116) emergency departments and psychiatric units with those in New Jersey (n = 50), where statewide workplace violence initiatives do not exist. Poisson regression with generalized estimating equations was used to compare assault rates between a 3-year pre-enactment period (1993-1995) and a 6-year post-enactment period (1996-2001) using New Jersey hospitals as a temporal control. Results: Assault rates among emergency department employees decreased 48% in California post-enactment, compared with emergency department employee assault rates in New Jersey (rate ratio [RR] = 0.52, 95% confidence interval [CI]: 0.31, 0.90). Emergency department employee assault rates decreased in smaller facilities (RR = 0.46, 95% CI: 0.21, 0.96) and for-profit-controlled hospitals (RR = 0.39, 95% CI: 0.19, 0.79) post-enactment. Among psychiatric units, for-profit-controlled hospitals (RR = 0.41, 95% CI: 0.19, 0.85) and hospitals located in smaller communities (RR = 0.44, 95% CI: 0.21, 0.92) experienced decreased assault rates post-enactment. Conclusion: Policy may be an effective method to increase safety to health care workers. [Description provided by NIOSH]
• Subjects:
  Demography Hazardous Substances Health Care Facilities Workforce And Services Health Personnel Occupational Health Risk Assessment Risk Factors Safety Staff Development Violence Workplace

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• Keywords:
  Author Keywords: Violence Demographic Characteristics Health Care Facilities Health Care Personnel Health Hazards Hospitals Injuries Injury Prevention Legislation Medical Personnel Occupational Psychology Occupational Safety Programs Psychological Factors Psychological Responses Quantitative Analysis Risk Analysis Risk Factors Safety Education Safety Measures Safety Practices Safety Programs Safety Research Statistical Analysis Training Violence Prevention Work Environment Worker Health Worker Motivation Work Organization Work Performance Workplace Monitoring Workplace Studies Work Practices

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• ISSN:
  1047-2797
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; Iowa ; New Jersey ; North Carolina ; OSHA Region 2 ; OSHA Region 4 ; OSHA Region 7 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  125-133
• Volume:
  19
• Issue:
  2
• NIOSHTIC Number:
  nn:20038977
• Citation:
  Ann Epidemiol 2009 Feb; 19(2):125-133
• Contact Point Address:
  Carri Casteel, PhD, University of North Carolina at Chapel Hill, Department of Epidemiology, 137 E. Franklin Street, Suite 500, CB 7505, Chapel Hill, NC 27599-7505
• Email:
  ccasteel@email.unc.edu
• Federal Fiscal Year:
  2009
• Performing Organization:
  University of Iowa
• Peer Reviewed:
  True
• Start Date:
  20020930
• Source Full Name:
  Annals of Epidemiology
• End Date:
  20060929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:3b4077960560916e4ffb7c0ce4e54236c601ec821e575ec3460ecfcaeb1c6680190da6e210ded65ed3557acc2854a9c7da0e624c1e01777dc2baf445756e7bd0
• Download URL:
  https://stacks.cdc.gov/view/cdc/192486/cdc_192486_DS1.pdf
• File Type:
  [PDF - 227.69 KB ]