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Managing violent episodes in the emergency room.

R E Feinstein

    Resident and Staff Physician
    |March 25, 1986
    PubMed
    Summary

    Effective emergency room violence management involves recognizing a five-phase behavioral continuum. Intervening appropriately in each phase helps calm patients and staff, improving safety.

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    Area of Science:

    • Emergency Medicine
    • Behavioral Science
    • Healthcare Management

    Background:

    • Violence in emergency departments poses significant risks to patient safety and staff well-being.
    • Current management strategies may not fully address the dynamic nature of violent incidents.
    • Understanding the progression of violent behavior is crucial for timely intervention.

    Purpose of the Study:

    • To present a phased model for understanding and managing emergency room violence.
    • To outline appropriate interventions for each phase of the violence continuum.
    • To enhance patient and staff safety through effective de-escalation techniques.

    Main Methods:

    • Conceptualizing patient aggression as a five-phase continuum.
    • Describing characteristic behaviors and triggers within each phase.
    • Identifying targeted interventions for each phase to de-escalate conflict.

    Main Results:

    • The five-phase model provides a framework for analyzing violent incidents.
    • Specific interventions correlate with successful de-escalation in each phase.
    • Proactive management based on the continuum can prevent escalation.

    Conclusions:

    • Viewing emergency room violence as a five-phase continuum facilitates effective management.
    • Tailored interventions at each stage are key to restoring calm.
    • This approach enhances safety for both patients and healthcare providers.

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