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Violence toward emergency physicians: A prospective-descriptive study.

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Workplace violence in emergency departments is common, with most incidents involving verbal abuse from patient relatives due to dissatisfaction with care. Improved communication is key to prevention.

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Area of Science:

  • Medical and Health Sciences
  • Public Health
  • Emergency Medicine

Background:

  • Workplace violence disproportionately affects the health sector, with emergency services being a primary site for incidents.
  • Factors contributing to violence include patient demographics, extended waiting times, and hospital overcrowding.
  • A significant number of workplace violence cases in healthcare settings go unreported.

Purpose of the Study:

  • To investigate the specific characteristics of workplace violence incidents targeting emergency physicians.
  • To identify the underlying causes and contributing factors of violence in emergency departments.
  • To analyze the demographic profiles of both victims and perpetrators of violence.

Main Methods:

  • Prospective recording of violent acts against emergency physicians over a one-year period.
  • Separate interviews with physicians and perpetrators following violent incidents.
  • Examination of perpetrator motivations, demographics, and patient medical complaints.

Main Results:

  • Verbal abuse constituted 85.1% of violent acts, primarily perpetrated by young male relatives of patients against male doctors.
  • Over 60% of incidents occurred within 15 minutes of patient presentation and during off-hours.
  • Patient/relative dissatisfaction with examination or treatment was the leading cause (38.2%).

Conclusions:

  • Effective communication strategies with patients and their families are crucial for violence prevention.
  • Informing patients about treatment plans and interventions can mitigate dissatisfaction and potential aggression.
  • Addressing root causes of patient frustration is essential for a safer healthcare environment.