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Model "code silver" internal lockdown policy in response to active shooters.

Scot Phelps¹, Robert Russell, Garrett Doering

¹Metropolitan College of New York, USA.

American Journal of Disaster Medicine

|February 16, 2008

Summary

This summary is machine-generated.

Hospitals exhibit alarming security complacency, failing to implement basic safety measures despite documented shootings. This review proposes a "Code Silver" policy to mitigate risks from internal hospital violence.

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Area of Science:

Healthcare Security
Public Health Policy
Emergency Preparedness

Background:

Hospitals have failed to adopt basic security measures, leaving vulnerable patients at risk of violence.
Despite incidents like shootings, many healthcare facilities neglect essential security protocols such as metal detectors and ID checks.

Purpose of the Study:

To highlight the persistent security vulnerabilities in hospitals.
To present a model policy, "Code Silver," for mitigating internal hospital shootings.
To advocate for enhanced safety protocols in healthcare settings.

Main Methods:

Review of hospital security failures post-September 11th.
Analysis of eight reported hospital shootings between June and December 2006 in the US and Canada.
Development of a "Code Silver" policy framework.

Main Results:

Significant lack of basic security implementation in hospitals, even after violent events.
At least eight shootings occurred in US and Canadian hospitals in a six-month period in 2006.
A model "Code Silver" policy is proposed to address these security risks.

Conclusions:

Hospitals must urgently enhance security measures to protect patients and staff.
"Code Silver" offers a proactive approach to managing and reducing internal hospital violence.
Implementing "shelter in place" training, secure door protocols, and defined security responses are crucial.