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Related Experiment Video

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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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Published on: January 15, 2017

Workplace Violence in a Large Urban Emergency Department.

Marla C Doehring¹, Megan Palmer¹, Ashley Satorius¹

¹Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis.

JAMA Network Open

|November 5, 2024

Summary

Workplace violence (WPV) affects health care workers (HCWs) in the emergency department (ED) every 3.7 shifts. Nurses and younger HCWs face higher risks, underscoring the need for targeted interventions.

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Area of Science:

Emergency Medicine
Occupational Health
Healthcare Worker Safety

Background:

Workplace violence (WPV) against health care workers (HCWs) is prevalent but often underreported.
There is a lack of reliable data on the incidence and impact of WPV on HCWs.

Purpose of the Study:

To determine the frequency of WPV against HCWs in the emergency department (ED).
To identify demographic factors associated with increased WPV risk.
To explore the impact of WPV on HCWs.

Main Methods:

A 2-month cross-sectional study in a large, urban academic hospital's ED.
HCWs (physicians, nurses) completed shift sheets to record WPV events.
Data collected included event type, severity, bias, and perceived impact; multivariable logistic regression analyzed risk factors.

Main Results:

HCWs experienced WPV every 3.7 shifts; 155 events were recorded.
Verbal abuse (type 1) was most common (50%), followed by physical violence (type 3, 25%).
Nurses (OR, 3.1) and HCWs aged 40 or younger (OR, 2.0) had a higher likelihood of experiencing WPV.

Conclusions:

HCWs in the ED experience frequent WPV, with nurses and younger staff at higher risk.
The findings highlight an urgent need for interventions to protect HCWs.
Addressing WPV is critical for maintaining a safe healthcare environment.