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Related Concept Videos

Types of Reports II: Incident or Occurrence Report01:21

Types of Reports II: Incident or Occurrence Report

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An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Humans engage in aggression when they seek to cause harm or pain to another person. Aggression takes two forms depending on one’s motives: hostile or instrumental. Hostile aggression is motivated by feelings of anger with intent to cause pain; a fight in a bar with a stranger is an example of hostile aggression. In contrast, instrumental aggression is motivated by achieving a goal and does not necessarily involve intent to cause pain (Berkowitz, 1993); a contract killer who murders for...
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Identifying Type II workplace violence from clinical notes using natural language processing.

Ha Do Byon1, Catherine Harris2, Mary Crandall1,2

  • 1University of Virginia School of Nursing.

Workplace Health & Safety
|June 30, 2023
PubMed
Summary
This summary is machine-generated.

Home healthcare nurses experience significant workplace violence, often unreported. Natural language processing (NLP) identified four incidents per 10,000 visits, vastly exceeding official reports, highlighting NLP

Keywords:
clinical notehome healthcarenatural language processingnursing informaticsworkplace violence < mental health

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Area of Science:

  • Healthcare safety
  • Natural Language Processing
  • Workplace violence

Background:

  • Type II workplace violence by patients towards home healthcare nurses is a critical health and safety concern.
  • A substantial number of these violent incidents go unreported through official channels.
  • Natural language processing (NLP) offers a method to identify underreported violence from clinical notes.

Purpose of the Study:

  • To calculate the 12-month prevalence of Type II workplace violence experienced by home healthcare nurses.
  • To develop and implement an NLP system for detecting unreported workplace violence in clinical notes.

Main Methods:

  • Analysis of nearly 600,000 clinical visit notes from two U.S. home healthcare agencies (January 1, 2019 - December 31, 2019).
  • Application of rule-based and machine-learning NLP algorithms to identify descriptions of workplace violence.
  • Comparison of NLP findings with official incident report data.

Main Results:

  • NLP identified 236 clinical notes detailing Type II workplace violence against home healthcare nurses.
  • Prevalence rates per 10,000 home visits: physical violence (0.067), nonphysical violence (3.76), any violence (4.0).
  • Official incident reports documented zero Type II workplace violence incidents during the study period.

Conclusions:

  • NLP is effective in uncovering "hidden cases" of workplace violence by analyzing clinical notes.
  • NLP can supplement formal reporting systems, providing a more accurate picture of violence risks.
  • Utilizing NLP can help healthcare managers and clinicians enhance safety in practice environments.