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Violence in the Emergency Department: A Global Problem
Allison Tadros1, Christopher Kiefer1
1Department of Emergency Medicine, Health Science Center, West Virginia University, PO Box 9149, Morgantown, WV 26506, USA.
The Psychiatric Clinics of North America
|August 13, 2017
Summary
Violence against healthcare workers is common, especially in emergency departments. Recognizing escalating behavior and utilizing sedation or restraint can mitigate risks, alongside legislative and security measures.
Area of Science:
- Emergency Medicine
- Healthcare Management
- Criminology
Background:
- Violence against healthcare workers is a prevalent issue.
- Emergency departments (EDs) are high-risk environments due to patient acuity and stress.
- Unreported incidents lead to significant physical and mental trauma for staff.
Purpose of the Study:
- To highlight the vulnerability of healthcare workers to violence.
- To discuss strategies for managing escalating patient behavior.
- To explore preventative measures against workplace violence.
Main Methods:
- Literature review on violence in healthcare settings.
- Analysis of patient agitation and de-escalation techniques.
- Examination of legislative, environmental, and security interventions.
Main Results:
- EDs present unique challenges increasing violence risk.
- Early recognition of escalating cues is crucial for intervention.
- Sedation and physical restraint are options when de-escalation fails.
- Proactive strategies including policy, design, and security can reduce incidents.
Conclusions:
- Healthcare workers need training in violence recognition and management.
- A multi-faceted approach combining immediate interventions and preventative strategies is essential.
- Addressing workplace violence requires systemic changes in legislation, facility design, and security protocols.
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