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Health Care Staff-Reported Workplace Violence in Patient Safety Event Reports.

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Workplace violence (WPV) is a significant issue for healthcare staff. This study identified 831 WPV incidents in patient safety event reports, primarily involving verbal harm from patients or visitors, with nurses frequently affected.

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Area of Science:

  • Healthcare Management
  • Occupational Safety
  • Public Health

Background:

  • Workplace violence (WPV) against healthcare staff is a critical global concern.
  • Patient safety event (PSE) reports offer valuable data for understanding WPV dynamics.

Purpose of the Study:

  • To develop a classification system for WPV incidents.
  • To analyze the characteristics of WPV events documented in PSE reports.

Main Methods:

  • A cross-sectional study analyzed 975 PSE reports from a US mid-Atlantic healthcare system.
  • A WPV classification approach was developed and applied to 831 identified WPV incidents.
  • Interrater reliability (IRR) was assessed, achieving a median of 84%.

Main Results:

  • 831 of 975 analyzed PSE reports (85.2%) were classified as WPV incidents.
  • The majority of WPV involved patient- or visitor-on-staff violence (76.7%), with verbal harm being common (39.8%).
  • Nurses were frequently exposed (33.3%), and agitation/aggression were leading precipitating factors (23.2%, 21.5%).

Conclusions:

  • Patient safety event reports are a valuable resource for identifying and characterizing workplace violence in healthcare.
  • Findings highlight the prevalence of patient/visitor-on-staff verbal harm and the need for targeted interventions.
  • Developing effective WPV prevention strategies is crucial for enhancing frontline healthcare worker safety.