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Area of Science:

  • Public Health
  • Epidemiology
  • Healthcare Management

Background:

  • Hospital-based shootings are a severe form of workplace violence with significant impacts.
  • Understanding the trends and patterns of these events is crucial for developing effective safety measures.

Purpose of the Study:

  • To analyze trends in hospital-based shootings in the US from 2012 to 2024.
  • To incorporate prior data (2000-2011) for a comprehensive 25-year trend analysis.

Main Methods:

  • A systematic review of acute care hospital shootings in the US.
  • Data sourced from news archives (EBSCO, ProQuest, Gun Violence Archive, Google News) from 2012-2024.
  • Subgroup analysis included previously published data from 2000-2011.

Main Results:

  • 327 unique shooting events were identified (5.2 per year per 1000 hospitals), averaging 25.2 shootings annually.
  • Shootings increased by 8.4% annually (2012-2024), from 14 to 34 events.
  • Large, urban hospitals, particularly in the US South, were most affected; nearly one-third of events were potentially preventable by weapons screening.

Conclusions:

  • Hospital shootings have steadily increased over 25 years, reflecting national violence trends.
  • High-risk settings include large hospitals in urban areas, especially in the US South.
  • Recommendations include hospital-specific prevention strategies, such as weapons screening, and broader societal violence reduction efforts.