Workplace Violence in Outpatient Physician Clinics: A Systematic Review

Details

• Personal Author:
  Benavides E ; Delclos G ; Emery R ; Levine N ; Markham C ; Oluyomi A ; Pompeii L ; Pop O ; Rojas Y ; Vellani K
• Description:
  Workplace violence (WPV) has been extensively studied in hospitals, yet little is known about WPV in outpatient physician clinics. These settings and work tasks may present different risk factors for WPV compared to hospitals, including the handling/exchange of cash, and being remotely located without security presence. We conducted a systematic literature review to describe what is currently known about WPV in outpatient physician clinics. Six literature databases were searched and reference lists from included articles published from 2000-2019. Thirteen quantitative and five qualitative manuscripts were included which all focused on patient/family-perpetrated violence in outpatient physician clinics. No studies examined other violence types (e.g., worker-on-worker; burglary). The overall prevalence of Type II violence ranged from 9.5% to 74.6%, with the most common form being verbal abuse (42.1-94.3%), followed by threat of assault (14.0-57.4%), bullying (2.5-5.7%), physical assault, (0.5-15.9%) and sexual harassment/assault (0.2-9.3%). Worker consequences included reduced work performance, anger, and depression. Most workers did not receive training on how to manage a violent patient. More work is needed to examine the prevalence and risk factors of WPV in outpatient physician clinics for purposes of informing prevention efforts in these settings. [Description provided by NIOSH]
• Subjects:
  Health Care Facilities Workforce And Services Health Personnel Occupational Health Risk Assessment Risk Factors Safety Violence Workplace
• Keywords:
  Assaults Author Keywords: Violence Health Care Workers Medical Facilities Medical Personnel Outpatient Physician Clinic Physicians Primary Care Risk Factors Workplace Aggression Workplace Violence

  More +
• ISSN:
  1660-4601
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 6 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  17
• Issue:
  18
• NIOSHTIC Number:
  nn:20060913
• Citation:
  Int J Environ Res Public Health 2020 Sep; 17(18):6587
• Contact Point Address:
  Lisa Pompeii, Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA
• Email:
  lisa.pompeii@bcm.edu
• Federal Fiscal Year:
  2020
• NORA Priority Area:
  Healthcare and Social Assistance
• Performing Organization:
  Baylor College of Medicine, Houston, Texas
• Peer Reviewed:
  True
• Start Date:
  20181001
• Source Full Name:
  International Journal of Environmental Research and Public Health
• End Date:
  20210831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:929d314f4183c6e5d4b7d2f35b49ec52846bac3d791c8360c6de66240d6ef2be86bd0d6cd2c355437d2c0ff82c8487547cc38c2497539b7e2a4ec76966cc7119
• Download URL:
  https://stacks.cdc.gov/view/cdc/224676/cdc_224676_DS1.pdf
• File Type:
  [PDF - 739.32 KB ]