Preventing patient-to-worker violence in hospitals: outcome of a randomized controlled intervention

Details

• Personal Author:
  Arnetz JE ; Essenmacher L ; Hamblin L ; Janisse J ; Luborsky M ; Russell J ; Upfal MJ
• Description:
  Objective: To evaluate the effects of a randomized controlled intervention on the incidence of patient-to-worker (Type II) violence and related injury in hospitals. Methods: Forty-one units across seven hospitals were randomized into intervention (n=21) and control (n=20) groups. Intervention units received unit-level violence data to facilitate development of an action plan for violence prevention; no data were presented to control units. Main outcomes were rates of violent events and injuries across study groups over time. Results: Six months post-intervention, incident rate ratios of violent events were significantly lower on intervention units compared with controls (incident rate ratio [IRR] 0.48, 95% confidence interval [CI] 0.29 to 0.80). At 24 months, the risk for violence-related injury was lower on intervention units, compared with controls (IRR 0.37, 95% CI 0.17 to 0.83). Conclusions: This data-driven, worksite-based intervention was effective in decreasing risks of patient-to-worker violence and related injury. [Description provided by NIOSH]
• Subjects:
  Health Care Facilities Workforce And Services Health Personnel Occupational Health Preventive Medicine Risk Assessment Risk Factors Safety Safety Management Violence Workplace
• Keywords:
  Health-care-facilities Health-care-personnel Injuries Injury-prevention Intervention Intervention Effectiveness Medical-facilities Medical-personnel Nurses Nursing Patient Handling Preventive-medicine Risk Factors Safety-measures Safety-practices Violence-prevention Work-environment Worker-health

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• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Michigan ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  18-27
• Volume:
  59
• Issue:
  1
• NIOSHTIC Number:
  nn:20049088
• Citation:
  J Occup Environ Med 2017 Jan; 59(1):18-27
• Contact Point Address:
  Judith E. Arnetz, PhD, MPH, PT, Department of Family Medicine, College of Human Medicine, Michigan State University, 788 Service Rd, B103 Clinical Center, East Lansing, MI 48824
• Email:
  judy.arnetz@hc.msu.edu
• Federal Fiscal Year:
  2017
• Performing Organization:
  Wayne State University - Detroit, Michigan
• Peer Reviewed:
  True
• Start Date:
  20110901
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20150831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:056ab52f361202661e95dbfb68bb11cf906de5b8447144ea02535bdcbbf58b795ffb1399d9e65e02a9168a41cd2e21f99cd0ec0fddccfa8e2ee0ed306d7a50f6
• Download URL:
  https://stacks.cdc.gov/view/cdc/203661/cdc_203661_DS1.pdf
• File Type:
  [PDF - 504.16 KB ]