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Measuring Healthcare Workers' Workplace Violence Exposure Over Time Using Workers' Compensation Claims
Rachel Odes1, Soo-Jeong Lee2, OiSaeng Hong2
1School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Workplace violence in healthcare is a significant issue, with workers' compensation claims tracking its frequency. California's 2017-2018 standard aimed to improve prevention, and claims data helps monitor its impact.
Area of Science:
- Occupational Health
- Public Health Policy
- Healthcare Management
Background:
- Workplace violence negatively impacts healthcare workforce stability and patient care.
- California implemented a workplace violence prevention standard in 2017-2018 for healthcare settings.
- Workers' compensation claims serve as a metric for tracking violence frequency over time.
Purpose of the Study:
- To analyze workplace violence trends in California healthcare using workers' compensation claims.
- To identify high-risk healthcare settings and injury types related to workplace violence.
- To evaluate the utility of workers' compensation data in monitoring violence mitigation strategies.
Main Methods:
- Descriptive study utilizing the California Workers' Compensation Information System (WCIS).
- Analysis of violence-related claims filed between 2013 and 2021.
- Tabulation of claim rates, high-risk facility types, and injury classifications.
Main Results:
- Over 46,000 violence-related claims (11% of total) were identified from 2013-2021.
- The highest claim rate occurred in 2019 (5.6 per 1000 workers).
- Residential care facilities (31%) and psychiatric/substance-use hospitals (35%) reported the highest proportion of violence-related claims.
Conclusions:
- Workers' compensation claims effectively describe workplace violence exposure and can track mitigation strategy effectiveness.
- Capturing violence assessment in claims can improve resource allocation for injured workers.
- Data suggests ongoing challenges with workplace violence in specific healthcare sub-sectors.
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