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Violence in the Emergency Department.
Keith R Stowell1, Nolan P Hughes1, John S Rozel1
1Western Psychiatric Institute and Clinic, Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 Ohara Street, Pittsburgh, PA 15213, USA.
The Psychiatric Clinics of North America
|November 13, 2016
Summary
Emergency department (ED) violence is frequent due to environmental factors. Mitigation strategies include staff training, facility changes, security, and policy updates to protect healthcare workers.
Area of Science:
- Emergency Medicine
- Healthcare Security
- Occupational Safety
Background:
- Violence is a prevalent issue within emergency departments (EDs).
- Environmental factors in the ED, such as understaffing, overcrowding, and accessible weapons, contribute to violence.
- Healthcare workers face significant risks from patient aggression.
Purpose of the Study:
- To identify environmental risk factors for violence in the ED.
- To outline strategies for mitigating violence against healthcare workers in EDs.
- To emphasize the importance of legal awareness regarding the duty to warn.
Main Methods:
- Review of environmental factors contributing to ED violence.
- Analysis of mitigation strategies for healthcare worker safety.
- Discussion of legal obligations for healthcare providers.
Main Results:
- Identified key risk factors: poor staffing, lack of privacy, overcrowding, and weapon availability.
- Highlighted effective mitigation strategies: staff training, ED layout modifications, security measures, and policy changes.
- Stressed the necessity for ED staff to understand legal duties, including the duty to warn.
Conclusions:
- ED violence is a serious concern with identifiable environmental triggers.
- A multi-faceted approach involving environmental, procedural, and policy changes is crucial for prevention.
- Legal preparedness and adherence to duty-to-warn standards are essential components of ED safety protocols.
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