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Tytuł:
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Workplace Violence in the Emergency Department: Case Study on Staff and Law Enforcement Disagreement on Reportable Crimes.
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Autorzy:
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McGuire SS; Department of Emergency Medicine, Mayo Clinic, Rochester, MN 55902, USA.
Mullan AF; Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN 55902, USA.
Clements CM; Department of Emergency Medicine, Mayo Clinic, Rochester, MN 55902, USA.
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Źródło:
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International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Jun 02; Vol. 19 (11). Date of Electronic Publication: 2022 Jun 02.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: Basel : MDPI, c2004-
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MeSH Terms:
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Workplace Violence*
Emergency Service, Hospital ; Humans ; Law Enforcement ; Risk Management ; Workplace
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References:
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J Biomed Inform. 2009 Apr;42(2):377-81. (PMID: 18929686)
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J Emerg Med. 2006 Oct;31(3):331-7. (PMID: 16982376)
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N Engl J Med. 2016 Apr 28;374(17):1661-9. (PMID: 27119238)
West J Emerg Med. 2017 Apr;18(3):466-473. (PMID: 28435498)
J Emerg Med. 2011 May;40(5):565-79. (PMID: 20133103)
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Alta RN. 2000 Mar-Apr;56(2):13-4. (PMID: 11075026)
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Contributed Indexing:
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Keywords: law enforcement; occupational health; reportable violence; staff safety; violence in healthcare; workplace violence
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Entry Date(s):
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Date Created: 20220610 Date Completed: 20220613 Latest Revision: 20230308
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Update Code:
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20240105
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PubMed Central ID:
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PMC9180214
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DOI:
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10.3390/ijerph19116818
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PMID:
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35682399
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Violence in the emergency department (ED) remains underreported. Patient factors are often cited as a source of confusion in determining the culpability of perpetrators and whether to proceed with incident reporting. This study’s objective was to determine how ED staff at one academic medical center perceive certain clinical scenarios and how this compares to local law enforcement officers (LEO). An anonymous survey with 4 scenarios was sent to multidisciplinary ED staff at our academic medical center, as well as local LEO and inquired whether respondents considered any of the scenarios to be reportable as a crime. Chi-square analysis was used for comparison. The study was deemed exempt by the Institutional Review Board. A total of 261 ED staff and 77 LEO completed the survey. Both groups were equally likely to believe that a reportable crime occurred in Scenario 1, where a patient with dementia punches a nurse (LEO: 26.0% vs. ED: 31.4%, p = 0.44), and in Scenario 2, where an intoxicated patient spits at a phlebotomist (LEO: 97.4% vs. ED: 95.0%, p = 0.56). However, the two groups differed in Scenario 3, in which a patient with delirium makes verbal threats to a doctor (LEO: 20.8% vs. ED: 42.9%, p < 0.001), and Scenario 4, in which a patient’s parent throws a chair at a medical student (LEO: 66.2% vs. ED: 81.2%, p = 0.009). As health systems seek to improve workplace safety, it is important to consider the barriers to reporting violent incidents, including staff’s understanding of what acts may constitute reportable violence, as well as LEO understanding of the unique ED environment and patient responsibilities.