Push for Safer Hospitals: Improve Violence Reporting

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Hospitals,Violence,Hospital Medicine

Data on the actual incidence of aggressive and violent incidents against hospital staff could help inform legislative fixes, hospital policies.

Do we really need more data on workplace violence to craft laws and policies to better protect healthcare workers fromOne is Joanne DeSanto Iennaco, PhD, APRN, professor and director of the Clinical Doctor of Nursing Practice Program at Yale School of Nursing, Yale University, in West Haven, Connecticut, and, describing a reporting system designed to easily tally and classify the incidence of such aggression.

"There will always be some people who don't want to participate, for whatever reason, but we found the nurses were excited to participate," Iennaco told. Staff participation with using the counters and logs was 65%."We had them do it for 2 weeks, but maybe, we don't need that much data to calculate a baseline rate with an ability to generalize."

"Patients come into the hospital at their worst, and we're sensitive to that." However, verbal abuse against hospital staff is a daily occurrence. Violence is never acceptable, and it has become status quo. But what should be done about it?"I'm an expert in emergency medicine," Haywood replied."We need the experts in workplace violence, like OSHA to take the lead. It really is a workplace safety issue and there have to be consequences.

Staff were trained in the research methodology and then, over a 2-week period in 2017, were asked to carry a hand-held event counter to record aggressive events in their daily work in real time by clicking on the counter. They were also asked to record the characteristics of each event on paper using the AIMS Log as soon as possible following the event or at least on the same day. That could be done in 1 or 2 minutes per incident, Iennaco said.

The next step for researchers is to connect the ability to count these events with their impact on the nurse or doctor, Iennaco said.

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