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Date: November 22, 2024 Fri
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Results for hospitals
21 results foundAuthor: Great Britain. Parliament. House of Commons Title: A Safer Place to Work: Protecting NHS Hospital and Ambulance Staff from Violence and Aggression Report by the Comptroller and Auditor General HC 527 session 2002-2003: 27, March 2003 Summary: This report looks at the management of the wider issues of health and safety risks to staff in the U.K. National Health Service (NHS). This report examines the extent and impact of violence and aggression within the NHS (which in 2001-2002 accounted for 40 per cent of all health and safety incidents reported to us) and evaluates the effectiveness of the actions taken by the Department and NHS trusts. Details: London: The Stationery Office, 2003. 54p. Source: Internet Resource; Accessed August 13, 2010 at http://www.nao.org.uk/publications/0203/protecting_nhs_staff.aspx Year: 2003 Country: United Kingdom URL: http://www.nao.org.uk/publications/0203/protecting_nhs_staff.aspx Shelf Number: 119595 Keywords: Aggression in the WorkplaceHospitalsViolence in the Workplace |
Author: Quigg, Zara Title: Violence-Related Ambulance Call Outs in the North West of England 2010/2011 Summary: Data summary In 2010/11, the North West Ambulance Service (NWAS) recorded 30,236 violence-related call outs, accounting for 3% of all ambulance call outs. The majority of patients were male and aged 18 to 34 years old. Peaks times for violence-related call outs were between 10pm and 3.59am on Fridays/Saturdays and Saturdays/Sundays. Overall, 13% of violence-related ambulance call outs were recorded as involving a weapon. Over a fifth (6%) were identified as domestic violence. The crude rate of violence-related ambulance call outs per 1,000 population across the North West was 4.4. Violence-related call out rates were significantly higher than the regional average in Blackburn with Darwen, Blackpool, Burnley, Halton, Liverpool, Manchester, Preston, Rochdale, St. Helens and Tameside. For call outs recorded as stab/gunshot, Blackpool, Knowsley, Liverpool, Manchester and Salford had significantly higher rates than the regional average (0.3 per 1,000 population). Six in ten of all violence-related call outs were transferred to another healthcare provider (e.g. emergency department) for further assessment, and treatment if required. With the average cost of an emergency ambulance journey being around three hundred pounds, it is estimated that violence-related call outs cost NWAS over five million pounds in 2010/11. Details: Liverpool: North West Public Health Observatory, 2012. 19p. Source: Internet Resource: Accessed July 30, 2012 at: http://www.nwph.net/nwpho/Publications/NWAS%20violence%20call%20outs%20March%202012.pdf Year: 2012 Country: United Kingdom URL: http://www.nwph.net/nwpho/Publications/NWAS%20violence%20call%20outs%20March%202012.pdf Shelf Number: 125803 Keywords: Emergency Calls, AmbulancesEmergency Medical ServicesHospitalsViolence (U.K.)Violence Prevention |
Author: Koziol-McLain, Jane Title: Hospital Responsiveness to Family Violence: 96 Month Follow-Up Evaluation Summary: The Ministry of Health (MOH) Violence Intervention Programme (VIP) seeks to reduce and prevent the health impacts of violence and abuse through early identification, assessment and referral of victims presenting to designated District Health Board (DHB) services. The Ministry of Health-funded national resources support a comprehensive, systems approach to addressing family violence. This evaluation summary documents the result of measuring system indicators at 27 hospitals (20 DHBs), providing Government, MOH and DHBs with information on family violence intervention programme implementation. Based on previous audit scores and programme maturity, 10 DHBs transitioned to self audit only for the 96 month follow-up audit, all other data is based on external audit scores for 2011/2012. Details: Wellington, NZ: New Zealand Ministry of Health, 2013. 66p. Source: Internet Resource: Accessed March 22, 2013 at: http://www.health.govt.nz/publication/hospital-responsiveness-family-violence-96-month-follow-evaluation Year: 2013 Country: New Zealand URL: http://www.health.govt.nz/publication/hospital-responsiveness-family-violence-96-month-follow-evaluation Shelf Number: 128076 Keywords: Child Abuse and NeglectFamily Violence (New Zealand)Health CareHospitalsIntimate Partner AbuseVictims of Violence |
Author: Upton, Val Title: Violence-related Accident & Emergency Attendances by English Local Authority Area Summary: This report details the first full national violence-related Accident & Emergency (A&E) first attendance dataset by local authority in England. The report outlines the methodology used to create an experimental complete national dataset using the HES A&E Attendances in England (experimental statistics). This work has been undertaken to address data quantity and data quality issues in the HES A&E dataset. • A&E departments see many individuals involved with assaults that are not reported to the police. Therefore, this experimental national dataset has been created to enhance existing intelligence on police recorded violent crime at the local authority level using A&E department data, and explore the geographical inequalities in violence-related A&E attendances across England. • This resident based experimental analysis provides new intelligence for a variety of agencies working in violence prevention (local authorities, police, NHS Trusts, community safety partnerships, public health research, and the voluntary sector). • Across England, based on HES A&E (experimental) and imputed values, the model estimates that in the 12 month period April 2010 to March 2011 there were 189,672 violence-related A&E first attendances (360.1 per 100,000 resident population). • At the regional level, violence-related A&E first attendances are higher in the north of England compared to southern regions (with the exception of London). Across the English Regions the estimates range between 224.9 per 100,000 in the East of England and 512.2 per 100,000 in the North West. • The estimates highlight wide geographical variation in violence-related A&E first attendances across English local authorities, ranging from 54.9 per 100,000 in East Devon to 994.8 per 100,000 in Liverpool. • Residents of larger cities, smaller provincial towns and coastal towns experience higher levels of violence-related A&E first attendances (e.g. Preston 806.2 per 100,000; Middlesbrough 809.4 per 100,000; Blackpool 696.6 per 100,000) than less densely populated areas (e.g. Mid Devon 64.4 per 100,000; West Somerset 99.0 per 100,000). • There is a strong positive correlation between deprivation and violence-related A&E attendances (r = 0.74; p<0.001) indicating that A&E attendances rise with increasing levels of deprivation. • The relationship between levels of urbanity and violence-related A&E attendances is significant albeit weaker than for deprivation (r = 0.53; p <0.001) indicating that higher numbers of attendances are not exclusive to more densely populated areas, and that some predominantly rural areas experience high levels of violence-related attendances (e.g. Allerdale 310.6 per 100,000). However, at the local authority level, areas with the lower violence-related A&E first attendance rates were predominantly rural (e.g. West Devon 60.3 per 100,000; South Lakeland 69.4 per 100,000). a The data used in this study are restricted to ‘first attendances’ to avoid duplicates (e.g. a patient may attend A&E subsequent to their first attendance as a planned follow up appointment to have a dressing changed, or as an unplanned follow up attendance relating to the original reason for the first attendance). • Approximately 59% of the variance in A&E attendance rates across England can be explained by levels of deprivation or levels of urbanity, with deprivation (ß = 0.63) having a much greater influence on violence-related A&E attendances than population density (ß = 0.23). • There is a strong positive correlation between violence-related A&E attendances and police recorded violence against the person (with injury) figures (r = 0.86; p <0.001) indicating a close link between the rate of A&E assault attendances and more serious police recorded violence. There are more A&E assault presentations per police recorded assault with injury in the most deprived areas of England, compared to more affluent areas. The process to derive these estimates has identified both data quality and quantity issues (e.g. missing data, invalid data) within the published HES A&E national dataset (experimental). With increased use of the data (e.g. to inform local policy and target local interventions to prevent violence) reporting should improve and the data will become a valuable resource for public health and health care planners as well as for multi-agency working with police and other services. The NHS Public Health Outcomes Framework (PHOF) 2013-16 proposes the use of violencerelated hospital admissions as an outcome measure of violent crime. Using hospital admissions data (HES) for the outcome measure does identify more serious violence-related incidents however A&E attendances could be more informative. Hospital admissions data has been used as part of this model using linear regression to predict missing and invalid A&E attendance data. As a key finding, the analysis in this report identifies that hospital admissions data are a strong predictor of A&E attendances, legitimising the use of violence-related hospital admissions as an interim PHOF measure while A&E data quality and quantity improves. The government is committed to the use of A&E department data to achieve a reduction in violence. A range of evidence based and cost effective violence prevention interventions can be delivered to at risk communities by health, educational and social support services. A&E data can form a critical part of targeting such interventions as well as providing additional intelligence to inform criminal justice activities. Details: Liverpool: North West Public Health Observatory, Centre for Public Health, Liverpool John Moores University, 2012. 45p. Source: Internet Resource: Accessed April 4, 2013 at: http://www.cph.org.uk/wp-content/uploads/2013/03/Violence-related-Accident-Emergency-Attendances-front-page.pdf Year: 2012 Country: United Kingdom URL: http://www.cph.org.uk/wp-content/uploads/2013/03/Violence-related-Accident-Emergency-Attendances-front-page.pdf Shelf Number: 128255 Keywords: Emergency Calls, AmbulancesHospitalsViolence (U.K.)Violence-Related InjuriesViolent Crime |
Author: Asgarova, Sevinj Title: Evaluation of the Code White Program to Reduce Workplace Violence At St. Paul’s Hospital Summary: This evaluation report presents findings from the evaluation of the Code White Program at St. Paul’s Hospital. The focus of the research study was to learn more about the relationship between Code White training and response in order to strengthen the implementation of the program. Staff at St. Paul’s Hospital, who had attended Code White training and who had been involved in Code White incidents, were surveyed to identify their experiences of violence and aggression in the workplace, their receipt of training, the adequacy and relevance of the training in response to the incidents with which they were involved. An anonymous semi-structured questionnaire was sent out to the staff at St. Paul’s Hospital with the assistance of Providence Health Center. Quantitative data were analyzed by SPSS and thematic content analysis was done for the qualitative data. One-way and two-way ANOVA statistical procedures and Chi-square tests were used to analyze the quantitative data. Overall, a relationship between the training and preparedness level of staff to deal with crisis situations was established. However, age of the staff (as a proxy for experience) did not appear to have any impact on their preparedness level. The staff who received NCPI training demonstrated ability to apply training techniques. Techniques addressed in training and used most often by staff include the timely provision of medication; limit setting; verbal de-escalation; and diversion. Additional findings about the differences across job classifications and units in the use of any relevant training techniques, as well as the impact of workplace violence on the employees and staff produced suggestions for effective implementation of the program. Respondents expressed their desire for ongoing training with refreshers with respect to Code White Training. It was suggested that better resourcing, facilitating better communication and collaboration among staff teams, offering joint trainings for staff teams (particularly, for nursing and security), increasing security presence and increasing medical intervention should be priorities for effective implementation of the Code White Program. Details: New Westminster, B.C.: Justice Institute of British Columbia, Centre for Prevention and Reduction of Violence, Office of Applied Research & Graduate Studies, 2012. 49p. Source: Internet Resource: Accessed August 5, 2013 at: http://www.jibc.ca/sites/default/files/research/pdf/Code-White_Report.pdf Year: 2012 Country: Canada URL: http://www.jibc.ca/sites/default/files/research/pdf/Code-White_Report.pdf Shelf Number: 129512 Keywords: HospitalsWorkplace CrimeWorkplace Violence (Canada) |
Author: Bowers, Len Title: Inpatient violence and aggression: a literature review. Report from the Conflict and Containment Reduction Research Programme Summary: Mentally ill people in hospital sometimes behave aggressively. They may try to harm other patients, staff, property or themselves. In the UK, the National Audit of Violence found that a third of inpatients had been threatened or made to feel unsafe while in care [Royal College of Psychiatrists 2007]. This figure rose to 44% for clinical staff and 72% of nursing staff working in these units. Such aggression can result in injuries, sometimes severe, to patients or to staff, causing staff absence and hampering the efficiency of the psychiatric service. The ways in which aggressive behaviour is managed by staff is contentious and emotive, and there is little evidence or agreement about their effectiveness. This review aims to describe the available research literature on the prevalence, antecedents, consequences and circumstances of violence and aggression in psychiatric hospitals. Our previous research has focussed on how to reduce of conflict and containment on acute wards. By conflict we mean those things that threaten patient and staff safety, such as aggression, rule breaking, drug/alcohol use, absconding, medication refusal, self-harm/suicide etc. By containment we mean those things the staff do to prevent these things occurring, or reduce the amount of harm that occurs, such as giving extra medication, intermittent observation, constant observation, show of force, manual restraint, coerced injections of medication, seclusion, time out, locking of the ward door, and other security policies. This research indicates a complicated relationship between conflict behaviours and containment, and that the behaviour and attitudes of staff may influence both. It led to the development of the ‘City model’ describing the ways in which staff factors can reduce rates of conflict and containment on wards. Three processes are posited to create low conflict and containment: positive appreciation of patients (kindness), emotional self-regulation of anger and fear (tranquillity), and an effective structure of rules and routines for patients based upon an ethical (not punitive) stance (orderliness). In addition to an analysis of the research literature, therefore, each chapter considers the evidence for and against the City Model and suggests lessons for future research. Details: London: Section of Mental Health Nursing, Health Service and Population Research, Institute of Psychiatry, Kings College London, 2011. 196p. Source: Internet Resource: Accessed August 10, 2013 at: http://www.kcl.ac.uk/iop/depts/hspr/research/ciemh/mhn/projects/litreview/LitRevAgg.pdf Year: 2011 Country: United Kingdom URL: http://www.kcl.ac.uk/iop/depts/hspr/research/ciemh/mhn/projects/litreview/LitRevAgg.pdf Shelf Number: 129604 Keywords: AggressionHospitalsMental HealthMental Illness (U.K.)ViolenceWorkplace Violence |
Author: Design Council Title: Reducing Violence and Aggression in A&E through a Better Experience Summary: Working with designers and the NHS, the Reducing violence and aggression in A&E: Through a better experience Design Challenge sought to address non-physical aggression and hostility towards staff by improving the A&E experience. A multi-diciplinary design team led by PearsonLloyd produced three design solutions: The People solution, The Guidance solution and a design toolkit. The Guidance and People solutions were installed and piloted at two A&E departments: Southampton General Hospital and St George's Hospital, London. A comprehensive evaluation was carried out by Frontier Economics and ESRO to test their impact which found: - 75% of patients said the improved signage reduced their frustration during waiting times - Threatening body language and aggressive behaviour fell by 50% post-implementation - For every $1 spent on the design solutions, $3 was generated in benefits Details: London: Design Council, 2011. 153p., 9p. summary Source: Internet Resource: Accessed March 11, 2014 at: https://www.designcouncil.org.uk/sites/default/files/asset/document/AE_evaluation_summary_1.pdf Year: 2011 Country: United Kingdom URL: https://www.designcouncil.org.uk/sites/default/files/asset/document/AE_evaluation_summary_1.pdf Shelf Number: 131851 Keywords: AggressionDesign Against CrimeHospitals |
Author: Koziol-McLain, Jane Title: Hospital Responsiveness to Family Violence: 108 Month Follow-Up Evaluation Summary: This report documents the result of measuring system indicators at 20 DHBs, proving Government, Ministry of Health and DHBs with information on family violence intervention programme implementation. Based on programme maturity, 16 DHBs completed a self audit for the 108 month follow-up audit; the remaining 4 were independently audited. All data are based on the combined self audit and external audit scores for 2012/2013. Details: Auckland, NZ: Ministry of Health, 2013. 68p. Source: Internet Resource: ITRC Report No. 12: Accessed April 23, 2014 at: http://www.aut.ac.nz/__data/assets/pdf_file/0003/447285/WEB_108M-VIP-FU-REPORT-2013.pdf Year: 2013 Country: New Zealand URL: http://www.aut.ac.nz/__data/assets/pdf_file/0003/447285/WEB_108M-VIP-FU-REPORT-2013.pdf Shelf Number: 132153 Keywords: Child Abuse and NeglectFamily Violence (New Zealand)Health CareHospitalsIntimate Partner AbuseVictims of Violence |
Author: International Healthcare Security and Safety Foundation Title: Healthcare Crime Survey Summary: The International Healthcare Security and Safety Foundation (IHSSF) is the philanthropic arm of the International Association for Healthcare Security & Safety (IAHSS). The 2014 IHSSF Crime Survey was commissioned under the Research and Grants Program of the International Healthcare Security and Safety Foundation (IHSSF). The purpose of the 2014 IHSSF Crime Survey is to provide healthcare security professionals with an understanding of crimes that impact hospitals as well as the frequency of these crimes. IAHSS members who serve in security leadership roles in hospitals in both the United States and Canada were invited to participate. Specifically, we asked that the highest ranking hospital security professional (or their designee) at each hospital respond to the survey. Those responding would ideally be responsible for maintaining the security incident management records. We also asked that if the respondent was responsible for more than one hospital that one survey be completed for each hospital. The 2014 IHSSF Crime Survey collected information on ten (10) different types of crimes that were deemed relevant to hospitals and included: Murder Rape Robbery Aggravated Assault Assault (Simple) Disorderly Conduct Burglary Theft (Larceny-Theft) Motor Vehicle Theft Vandalism To ensure that all hospitals were answering the questions consistently, regardless of state or province, the survey included the Federal Bureau of Investigation's Uniform Crime Report definition (US) and the Criminal Code Definition (Canada). The definitions for each crime are located in the Appendices to this report. For analytical purposes, murder, rape, robbery, and aggravated assault were aggregated into a group called "violent crimes." We received 386 responses from both US (n=338) and Canadian (n=47) hospitals. Of those 386 responses, 242 provided usable responses. These 242 hospitals account for: - 209,818,780 square feet (including on-campus clinics, research space, medical office buildings, etc.) - Over 56,000 hospital beds - An average daily census of around 85,000 people Details: Glendale Heights, IL: IHSSF, 2014. 19p. Source: Internet Resource: Accessed July 2, 2014 at: http://ihssf.org/PDF/crimesurvey2014.pdf Year: 2014 Country: United States URL: http://ihssf.org/PDF/crimesurvey2014.pdf Shelf Number: 132609 Keywords: Crime StatisticsHospital SecurityHospitals |
Author: Riccardi, Michele Title: The Theft of Medicines from Italian Hospitals Summary: Along with counterfeiting, theft of medicines is emerging as the new frontier of pharmaceutical crime. In Italy between 2006 and 2013 one hospital out of ten has registered thefts of pharmaceuticals, suffering, on average, an economic loss of about 330 thousands euro each episode. This report represents the first study on this booming but almost unknown criminal phenomenon. In particular it carries out: - An exploration of the background behind pharmaceutical theft and of the drivers that influence the demand and the supply of stolen medicines; - An analysis, based on cases reported by media, of thefts of medicines from Italian hospitals between 2006 and 2013 Details: Milan, IT: Transcrime, 2014. 67p. Source: Internet Resource: Accessed July 29, 2014 at: http://www.transcrime.it/pubblicazioni/the-theft-of-medicines-from-italian-hospitals/ Year: 2014 Country: Italy URL: http://www.transcrime.it/pubblicazioni/the-theft-of-medicines-from-italian-hospitals/ Shelf Number: 132812 Keywords: HospitalsIllicit TraffickingMedicinePharmaceutical Crime (Italy)Pharmaceutical IndustrySmugglingTheft |
Author: Howell, Embry Title: State Variation in Hospital Use and Cost of Firearm Assault Injury, 2010 Summary: The consequences of gun violence differ significantly by location and social circumstances. Understanding these social and geographic variations is important in helping policymakers understand the scope of gun violence and identify sound policy solutions. This brief looks at who visits the hospital for firearm-assault injuries and what percentage of that hospital cost is borne by the public in six different states: Arizona, California, Maryland, New Jersey, North Carolina, and Wisconsin. Findings build on national estimates of firearm-assault injury prevalence and hospital cost developed by Howell and Abraham (2013). In 2010, the total cost, including societal cost, of firearm violence was estimated at $174 billion (Miller 2012). Though the monetary costs imposed by gun violence are large, the physical injuries are not distributed evenly: gun violence is often concentrated in a small number of places and within a small set of communities. In Boston, for example, more than half of gun violence is clustered around less than 3 percent of streets and intersections (Braga, Papachristos, and Hureau 2010), and in a Chicago community, 41 percent of gun homicides occurred in social networks containing just 4 percent of the population (Papachristos and Wildeman 2014). Youth are also disproportionately affected by gun violence. In 2010, homicide was the third-leading cause of death for youth ages 10 to 24, greater than the next seven leading causes of death combined (David-Ferdon and Simon 2014). Given these variations, documenting the distribution and hospital costs of firearm-assault injury at the state level is important for understanding the varied effects of gun violence and the costs the public pays because of it. Highlights - Among the six states studied, there are substantial differences in firearm-assault injury hospital use, hospital mortality, and the percentage of firearm-assault injury hospital costs borne by the public. - Hospital use for firearm-assault injury is disproportionately concentrated among young males, particularly young black males, in all six study states. - Uninsured victims have higher hospital mortality rates for firearm-assault injury in five of six study states. - The public pays a substantial portion of the hospital cost for injuries caused by firearm assault. Public health insurance paid 52 percent of the cost nationally in 2010 (19 to 64 percent across the six study states). The uninsured, whose care is often paid by the public, represented 17 to 59 percent of costs. Details: Washington, DC: Urban Institute, 2014. 11p. Source: Internet Resource: Accessed September 17, 2014 at: http://www.urban.org/UploadedPDF/413210-State-Variation-in-Hospital-Use-and-Cost-of-Firearm-Assault-Injury-2010.pdf Year: 2014 Country: United States URL: http://www.urban.org/UploadedPDF/413210-State-Variation-in-Hospital-Use-and-Cost-of-Firearm-Assault-Injury-2010.pdf Shelf Number: 133367 Keywords: Costs of CrimeGun-Related Violence (U.S.)HomicidesHospitals |
Author: Howell, Embry Title: The Hospital Costs of Firearm Assaults Summary: In the wake of recent high profile incidents of gun violence, there is renewed national attention on the prevalence and cost of firearm assaults in the United States. To make informed policy decisions, lawmakers are calling for current and accurate data on the costs of these assaults. This brief examines the costs of emergency department (ED) visits and hospital admissions for firearm assault victims in the United States in 2010. These costs are further examined according to patient gender, age, median household income, and insurance status. Details: Washington, DC: Urban Institute, 2013. 16p. Source: Internet Resource: Accessed July 13, 2015 at: http://www.urban.org/sites/default/files/alfresco/publication-pdfs/412894-The-Hospital-Costs-of-Firearm-Assaults.PDF Year: 2013 Country: United States URL: http://www.urban.org/sites/default/files/alfresco/publication-pdfs/412894-The-Hospital-Costs-of-Firearm-Assaults.PDF Shelf Number: 135995 Keywords: Costs of Crime Gun-Related Violence (U.S.) Homicides Hospitals |
Author: Schoenfisch, Ashley Title: Weapons Use Among Hospital Security Personnel Summary: Violence in the hospital setting, particularly violence perpetrated by patients and visitors, is a growing public health concern. The economic impact of workplace violence has been estimated at annual losses of 1.8 million work days and $55 million in wages, as well as lost productivity, legal and security expenses, property damage, and harm to public image (US Department of Labor Occupational Safety and Health Administration, 2011). Adverse physical and mental consequences on workers have been described as well (Dement JM, Lipscomb HJ, Schoenfisch AL, & Pompeii LA, 2014; Pompeii LA et al., 2013). Although most occupational safety and health research related to hospital violence has focused on the impact on direct patient care staff (e.g., nurses, nurses' aides, and physicians), police and security personnel have been described as being at particularly high risk. In a recent study examining violence perpetrated by patients and visitors against hospital workers, police officers and security personnel had the highest rate of violent event-related injury (5.1 per 100 full-time equivalents) - notably higher than that of inpatient nurses (1.8 per 100 full-time equivalents) (Pompeii LA et al., 2013). Several observational studies have described security practices and policies in the hospital setting, including the availability of weapons for use by security personnel (Campus Safety Magazine, 2011; Ho JD et al., 2011; Lavoie FW, Carter GL, Danzl DF, & Berg RL, 1988; Meyer H & Hoppszallem S, 2011). Although some of these studies provide an overview of hospitals' security practices at the national level, none address comprehensively the relationship between weapons availability and hospital violence. Given an increase in violence in the hospital setting and continued attention on hospital security programs, there is a need to examine current hospital safety and security practices and how they relate to the prevention and mitigation of events of hospital violence, including the use of weapons by security personnel. The purpose of this study was to examine the carrying and use of weapons among security personnel working in the hospital setting, including the assessment of how weapons use in hospital violent events may vary by hospital characteristics. In addition, the study aimed to assess the incidence of violence in the hospital setting in the prior 12 months, including the association between violence and weapons use among security personnel. Details: Glendale Heights IL: IHSSF: International Healthcare Security and Safety Foundation, 2014. 88p. Source: Internet Resource: Accessed October 29, 2015 at: http://ihssf.org/PDF/weaponsuseamonghosptialsecuritypersonnel2014.pdf Year: 2014 Country: United States URL: http://ihssf.org/PDF/weaponsuseamonghosptialsecuritypersonnel2014.pdf Shelf Number: 137171 Keywords: Healthcare FacilitiesHospital SecurityHospitalsSecurity PersonnelWorkplace Violence |
Author: Cvitkovich, Yuri Title: Preventing violent and aggressive behaviour in healthcare : a literature review Summary: Since the late 1980's there has been a concerted effort to prevent violence in the workplace however it was not until the mid-90's that government agencies have produced guidelines for violence prevention programs. A systematic approach was used to search the literature for relevant studies from: peer-review journals, government and academic reports, PubMed database, books, reference lists, websites and journal "Table of Contents". Keywords used were: "workplace violence prevention" strategies; workplace violence prevention strategies in healthcare; evaluating "workplace violence prevention programs" in healthcare; healthcare workplace violence prevention; and violence in the healthcare workplace. Inclusion criteria were that the study describe violence prevention programs and provide specific details of interventions. After screening for pertinence we obtained 175 studies/reports for our reference list. We excluded 62 studies that were primarily epidemiological. Of the remaining 113 most described violence prevention programs in various settings: - General application - 65 - Acute care - 17 (some mental health) - Mental Health - 24 (some complex care) - Complex care - 12 (some mental health) - Community Care - 14 (some mental health) After reading the resulting 113 articles, we screened out those only provided a description of the violence prevention program without reporting evaluations. Although a substantial list of violence prevention studies were identified, only 32 studies demonstrated the effectiveness of these interventions. The 32 articles that did some sort of evaluation of intervention were comprised of 5 environmental / administrative, 11 training, and 16 post-incident. Three of the 5 environmental/administrative intervention studies were not in healthcare settings specifically, whereas one was in acute care and another was in a Veterans Administration facility. The eleven training intervention studies were all in healthcare settings: one in nursing homes whereas the remainder were in hospitals (two in emergency departments, two in Veterans Administration facilities, three in mental health hospitals, and five giving a generic acute care description). The sixteen post-incident intervention evaluations comprised of nine studies in healthcare settings and seven studies not in healthcare (armed forces, women experiencing early miscarriage, victims of violent crime, acute burns trauma victims, police officers, and two studies of road traffic accident victims). The nine healthcare setting post-intervention evaluations were distributed as follows: six in psychiatric (forensic) hospitals, one in Veterans Administrative facilities, one in a long-term care facility, and one in community homes for developmental and psychiatric residents. Most evaluation studies did not use a control group but used a one-group pre/post design. Tables 1 to 4 provide a summary of the evaluation studies. The evaluation studies demonstrate some consistency in perception that the greatest quantity of aggressive behaviour incidents arise from patients/clients/residents who have psychiatric or dementia illness or individuals who are in the crowded high-pressure environments of emergency department. However there is very little mention of the integration of clinical guidelines as they relate to violence prevention and OH&S strategies. Now that more people with psychiatric problems and dementia are living in the community rather than being institutionalized, these expanded violence prevention strategies from mental health hospitals may be applicable for community care settings. Details: Vancouver, BC: Occupational Health and Safety Agency for Healthcare (OHSAH) in BC, 2005. 81p. Source: Internet Resource: Accessed November 3, 2015 at: http://www.phsa.ca/Documents/Occupational-Health-Safety/ReportPreventingViolentandAggressiveBehaviourinHea.pdf Year: 2005 Country: Canada URL: http://www.phsa.ca/Documents/Occupational-Health-Safety/ReportPreventingViolentandAggressiveBehaviourinHea.pdf Shelf Number: 137190 Keywords: Healthcare ViolenceHospitalsViolence and AggressionViolence PreventionWorkplace Violence |
Author: Victorian Department of Human Services, Nurse Policy Branch Title: Victorian Taskforce on Violence in Nursing: Final Report Summary: Health care professionals who are involved in direct clinical care and who are in frequent contact with the public are confronted with incidents of occupational violence and bullying. Among health care professionals, nurses are particularly exposed to occupational violence and bullying. Nurses have been identified as the occupational group most at risk of violence in the workplace in Australia (Mayhew 2000). Recent Australian research indicates that as many as 95 per cent of nurse respondents had experienced repeated episodes of verbal aggression in the year prior to the study, with 80 per cent reporting multiple episodes of physical aggression from patients (O'Connell et al. 2000). Research consistently indicates that nurses under-report incidents of violence (Erickson & Williams-Evans 2000; Fry et al.2002; Poster 1996). There are indications that nurses who are frequently exposed to violence are less likely to report the incident as they believe it is just part of the job, and the way an incident or near incident is reported itself differs across hospitals. There is a lack of consistent definition and measurement of violence and bullying against nurses, which contributes to a lack of understanding of the nature and prevalence of the problem. The Minister for Health, the Hon Bronwyn Pike MP, established a taskforce in early 2004 to provide strategic advice to the Victorian Government regarding occupational violence and bullying against nurses. The Victorian Taskforce on Violence and Bullying was chaired by Maxine Morand, Member for MountWaverley, who is a former nurse and research scientist. Members of the taskforce possess in-depth knowledge and experience of the Victorian health sector, particularly concerning nursing matters. Representatives were brought together from division 1, 2 and 3 registered nurses, the Australian Nursing Federation (Vic Branch), Health Services Union, Health and Community Services Union, Victoria Police, Victorian Deans of Nursing, the Vocational Education and Training sector, human resource directors in health services, Nurses Board of Victoria, Royal College of Nursing Australia, Directors of Nursing, and WorkSafe Victoria. The taskforce was asked to define occupational violence and bullying against nurses, develop approaches to the prevention and management of occupational violence and consider factors that impact on the provision and management of a safe environment for nurses, other health professionals and clients. The taskforce aims included developing strategies that promote a reduction and consistent reporting of incidents of occupational violence in nursing and to consider a coordinated approach to addressing these issues. In order to fully examine key issues and recommend specific strategies to address occupational violence and bullying against nurses, the committee determined that four subcommittees should be convened. The four subcommittees reviewed and further refined the different aspects, definitions and potential strategies to approaching their specific area. They covered the areas of violence and aggression, bullying, education, and reporting tools. Each subcommittee undertook specific analysis and discussion to identify strategies. The taskforce highlighted a number of themes as being crucial to preventing and managing violence and bulling in the nursing workplace. These themes were common to each of the areas analysed and are reflected in the recommendations. Details: Melbourne: Victoria, Department of Human Services, 2005. 93p. Source: Internet Resource: Accessed November 11, 2015 at: http://www.health.vic.gov.au/__data/assets/pdf_file/0007/17674/victaskforcevio.pdf Year: 2005 Country: Australia URL: http://www.health.vic.gov.au/__data/assets/pdf_file/0007/17674/victaskforcevio.pdf Shelf Number: 137231 Keywords: Healthcare ProfessionalsHospitalsWorkplace CrimeWorkplace Violence |
Author: Victoria. Department of Human Services Title: Occupational violence in nursing: An analysis of the phenomenon of code grey/black events in four Victorian hospitals Summary: Study aims The aims of this study are threefold: 1. To describe the prevalence and impact of code black and code grey events in three Melbourne metropolitan health care agencies and one regional centre. 2. To identify organisational factors, patient characteristics and specific patient groups that are more susceptible to being involved in violent incidents within the workplace. 3. To identify best practice and suggest appropriate organisational and nursing interventions that will improve the management of patient violence directed towards nurses and other health care staff. In addressing these aims, the study will answer the following research questions: - What is best practice when training for: the de-escalation of aggression, the management of code black and code grey events, and debriefing of nurses following a code black or code grey event? - What is the prevalence of occupational violence across three major metropolitan and one regional health care agency? - How does patient aggression manifest and how is it perceived and managed by nurses? - Do reported incidents of patient aggression accurately reflect actual levels of patient aggression? - What demographic, patient and organisational factors influence the frequency of code grey and code black events? Details: Melbourne: Victoria, Department of Human Services, 2005. 79p. Source: Internet Resource: Accessed November 11, 2015 at: http://www.health.vic.gov.au/__data/assets/pdf_file/0008/17585/codeblackgrey.pdf Year: 2005 Country: Australia URL: http://www.health.vic.gov.au/__data/assets/pdf_file/0008/17585/codeblackgrey.pdf Shelf Number: 137232 Keywords: Healthcare ProfessionalsHospital SecurityHospitalsOccupational ViolenceWorkplace CrimesWorkplace Violence |
Author: National Collaborating Centre for Mental Health (UK) Title: Violence: The short-term management of disturbed/violent behaviour in in-patient psychiatric settings and emergency departments Summary: The National Institute for Health and Clinical Excellence (NICE) commissioned the National Collaborating Centre for Nursing and Supportive Care (NCC-NSC) to develop guidelines on the short-term management of disturbed/violent behaviour in adult psychiatric in-patient settings and emergency departments for mental health assessments. This follows referral of the topic by the Department of Health and Welsh Assembly Government. This document describes the methods for developing the guidelines and presents the resulting recommendations. It is the source document for the NICE short-form version, the Quick reference guide (the abridged version for health professionals) and the Information for the public (the version for patients and their carers), which will be published by NICE and be available on the NICE website (www.nice.org.uk). The guidelines were produced by a multidisciplinary Guideline Development Group (GDG) and the development process was undertaken by the NCC-NSC. The main areas examined by the guideline were: environment and alarm systems, prediction (antecedents, warning signs and risk assessment), training, working with service users, de-escalation techniques, observation, physical interventions, seclusion, rapid tranquillisation, post-incident review, emergency departments, and searching. Details: London: Royal College of Nursing, 2006. 135p. Source: Internet Resource: NICE Clinical Guidelines, No. 25: Accessed February 12, 2016 at: http://www.ncbi.nlm.nih.gov/books/NBK55521/pdf/Bookshelf_NBK55521.pdf Year: 2006 Country: United Kingdom URL: http://www.ncbi.nlm.nih.gov/books/NBK55521/pdf/Bookshelf_NBK55521.pdf Shelf Number: 137851 Keywords: Alarm SystemsHospital SecurityHospitalsMentally Ill ViolenceWorkplace Violence |
Author: National Collaborating Centre for Mental Health (UK) Title: Violence and Aggression: Short-Term Management in Mental Health, Health and Community Settings Summary: This guideline has been developed to advise on the short-term management of violence and aggression in mental health, health and community settings in adults, children (aged 12 years or under) and young people (aged 13 to 17 years). This guideline updates Violence: the Short-term Management of Disturbed/Violent Behaviour in In-Patient Psychiatric Settings and Emergency Departments (NICE clinical guideline 25), which was developed by the National Collaborating Centre for Nursing and Supportive Care and published in 2005. Since the publication of the 2005 guideline, there have been some important advances in our knowledge of the management of violence and aggression, including service users' views on the use of physical intervention and seclusion, and the effectiveness, acceptability and safety of drugs and their dosages for rapid tranquillisation. The previous guideline was restricted to people aged 16 years and over in adult psychiatric settings and emergency departments; this update has been expanded to include some of the previously excluded populations and settings. All areas of NICE clinical guideline 25 have been updated, and this guideline will replace it in full. The guideline recommendations have been developed by a multidisciplinary team of healthcare professionals, people with mental health problems who have personally experienced management of violent or aggressive behaviour, their carers and guideline methodologists after careful consideration of the best available evidence. It is intended that the guideline will be useful to clinicians and service commissioners in providing and planning high-quality care for the management of violence and aggression, while also emphasising the importance of the experience of these service users' care and the experience of their carers. Details: London: British Psychological Society, 2015. 253p. Source: Internet Resource: NICD Guideline No. 10: Accessed February 12, 2016 at: http://www.ncbi.nlm.nih.gov/books/NBK305020/pdf/Bookshelf_NBK305020.pdf Year: 2015 Country: United Kingdom URL: http://www.ncbi.nlm.nih.gov/books/NBK305020/pdf/Bookshelf_NBK305020.pdf Shelf Number: 137852 Keywords: Alarm SystemsHospital SecurityHospitalsMental Health ServicesMentally Ill ViolenceWorkplace Violence |
Author: Parker, Khristy Title: Alaska Trauma Registry: Trauma Admissions Involving Alcohol or Illegal Drugs, 2014 Summary: The Alaska Trauma Registry (ATR) is an active surveillance system that collects data pertaining to hospitalizations of the most seriously injured patients in Alaska. Data collected include patient demographics, injury event, patient transport, treatment, and outcomes. Since 1991, the Alaska Trauma Registry has collected data from all 24 (22 civilian and 2 Department of Defense) acute care hospitals, with the purpose of evaluating the quality of trauma patient care, monitoring serious injury, injury prevention, and trauma system development. The ATR is a subsidiary of the Alaska Department of Health and Social Services (DHSS), Division of Public Health. This fact sheet presents data from the ATR - specifically, numbers of trauma admissions, patient demographics, and the presence of alcohol or illegal drugs in trauma admissions for 2014. Data used in this Fact Sheet were provided to the Alaska Justice Statistical Analysis Center (AJSAC) by ATR. Details: Anchorage: Alaska Statistical Analysis Center, 2016. 4p. Source: Internet Resource: Fact Sheet: Accessed March 16, 2016 at: http://justice.uaa.alaska.edu/ajsac/2016/ajsac.16-01.atr2014.pdf Year: 2016 Country: United States URL: http://justice.uaa.alaska.edu/ajsac/2016/ajsac.16-01.atr2014.pdf Shelf Number: 138266 Keywords: AlcoholismDrug Abuse and AddictionHospitalsIllegal DrugInjuries |
Author: International Association for Healthcare Security and Safety Foundation (IAHSS) Title: 2016 Healthcare Crime Survey Summary: The 2016 Healthcare Crime Survey was commissioned under the IAHSS Foundation's Research and Grants Program. The purpose of the 2016 Healthcare Crime Survey is to provide healthcare professionals with an understanding of the frequency and nature of crimes that impact hospitals. Hospital security leaders in both the United States and Canada were invited to participate. Specifically, we asked that the highest ranking hospital security professional (or their designee) at each hospital to respond to the survey. The 2016 Healthcare Crime Survey collected information on ten (10) different types of crimes deemed relevant to hospitals: Murder Rape Robbery Aggravated Assault Assault (Simple) Disorderly Conduct Burglary Theft (Larceny-Theft) Motor Vehicle Theft Vandalism For the 2016 Healthcare Crime Survey, we received 366 responses from both U.S. (n = 326) and Canadian (n = 40) hospitals. Of those 366 responses, 302 were usable responses. This represents an increase in usable responses compared to the 2015 Healthcare Crime Survey. A response was considered usable if the respondent provided data for each of the crime questions and the hospital's bed count. Bed counts were necessary as the Healthcare Crime Survey has used bed count as a surrogate indicator of hospital size and more specifically to calculate crime rates for each of the ten crimes studied. Details: Glendale Heights, IL: IACHSS, 2016. 21p. Source: Internet Resource: IAHSS-F CS-16: Accessed June 13, 2016 at: http://ihssf.org/PDF/2016crimesurvey.pdf Year: 2016 Country: United States URL: http://ihssf.org/PDF/2016crimesurvey.pdf Shelf Number: 139401 Keywords: Crime StatisticsCrime TrendsHealthcare FacilitiesHospital SecurityHospitalsWorkplace Crime |
Author: Pew Charitable Trusts Title: State Prisons and the Delivery of Hospital Care: How states set up and finance off-site care for incarcerated individuals Summary: Delivering adequate medical care to the more than 1 million adults in state prisons is a growing challenge for states, in part because of the high costs and complex logistics required to hospitalize people who are incarcerated. While most care for incarcerated individuals is delivered on-site, some of them periodically need to be hospitalized for acute or specialized care. As is true generally, this treatment is expensive because of the labor-intensive and sophisticated services provided. And hospitalizing someone who is in prison brings added expenses, such as providing secure transportation to and from the hospital and guarding the patient round-the-clock. State officials nationwide are under increasing pressure to contain hospitalization costs while also ensuring the constitutional right to "reasonably adequate" care. Hospitalization expenses are already a significant portion of correctional health care spending and are likely to grow if prison trends continue. The average age of those behind bars is rising, and the health needs of these individuals-like older people outside of prison-are more extensive than those of younger cohorts, including more hospitalizations. State officials are also noting an increase in the amount of care required for all adults entering correctional facilities. Looming over these considerations is the future direction of national health care policy, especially the role of Medicaid, the federal-state program for low-income individuals. With these challenges in mind, The Pew Charitable Trusts explored hospital care for people incarcerated in state prisons, tapping data from two nationwide surveys conducted by Pew and the Vera Institute of Justice and from interviews with more than 75 state officials. This first-of-its-kind analysis of hospital care for this patient population is part of a broader examination by Pew of correctional health care in the United States. This report will discuss the ways states arrange and pay for hospital care for their incarcerated population and how such care supplements on-site prison health services. Its findings include: - Off-site care costs are a significant part of correctional health budgets. For example, Virginia spent 27 percent of its prison health care budget on off-site hospital care in 2015, while New York spent 23 percent. - The health care delivery model that state prisons use to provide on-site services informs decisions they must make regarding hospitalization arrangements, including who holds authority to send someone off-site, how the care is coordinated and reviewed, and which entity pays the bill. - The federal Affordable Care Act (ACA) offers state policymakers who elect to expand their Medicaid programs' eligibility a way to reduce inpatient hospital spending. - Though incarcerated individuals always will need to be treated at hospitals for certain conditions or tests, some states have promising practices to avert some off-site care, saving money and mitigating public safety risks. The report's discussion of state approaches to providing care to incarcerated individuals is designed to help the officials involved in setting hospitalization policy-lawmakers, prison and hospital medical staff and administrators, correctional officers, and sometimes private contractors-better manage costs while working toward or maintaining a high-performing prison health care system. Details: Philadelphia: Pew Charitable Trusts, 2018. 22p. Source: Internet Resource: Accessed August 24, 2018 at: http://www.pewtrusts.org/-/media/assets/2018/07/prisons-and-hospital-care_report.pdf Year: 2018 Country: United States URL: http://www.pewtrusts.org/-/media/assets/2018/07/prisons-and-hospital-care_report.pdf Shelf Number: 151260 Keywords: Correctional Health CareHospitalsMedicare CarePrison Health CarePrison Hospitals |