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Violence against physicians
1Division of General Medicine, Nassau County Medical Center, East Meadow, NY 11554.
Journal of General Internal Medicine
|September 1, 1994
Summary
Violence against internal medicine physicians is prevalent, with over 40% reporting assaults. Intoxicated patients or those with psychiatric histories are the most common perpetrators of workplace violence.
Area of Science:
- Medical Education
- Public Health
- Occupational Safety
Background:
- Workplace violence in healthcare settings is a growing concern.
- Internists, including residents and attending physicians, are at risk.
- Understanding the incidence and characteristics of violence is crucial for prevention.
Purpose of the Study:
- To determine the frequency of violence experienced by internal medicine physicians.
- To identify the types of violence and circumstances surrounding these events.
- To explore the patient populations most frequently associated with violent incidents.
Main Methods:
- A survey was conducted among 100 internal medicine residents and attending physicians at a tertiary care center.
- Participants reported experiences of assault or battery by patients or their relatives.
- Data collected included the timing, nature, severity, and context of violent episodes.
Main Results:
- A 63% response rate was achieved, with 63 physicians returning questionnaires.
- 16% of respondents reported being battered, and 41% reported being assaulted.
- The majority of violent episodes (54%) involved intoxicated patients or those with psychiatric histories; no injuries were reported.
Conclusions:
- Violence against internal medicine physicians is a significant issue.
- Intoxicated patients and those with psychiatric conditions are frequently implicated in violent incidents.
- Further research is needed to develop effective prevention strategies.