Evaluation of a violence risk assessment system (the Alert System) for reducing violence in an acute hospital: A before and after study

Kling, Rakel; Yassi, Annalee; Smailes, Elizabeth; Lovato, Chris Y.; Koehoorn, Mieke

doi:10.1016/j.ijnurstu.2010.10.006

Cited by 36 publications

(75 citation statements)

References 12 publications

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“…14,15,28 However, this does not seem to be the case in the current study, as the rate of events in the intervention group did not increase in the immediate 6 months post-intervention. Underreporting, a well-recognized phenomenon in studies of workplace violence 29,45 and adverse occupational outcomes generally, 46 had been examined in this study population pre-intervention.…”

Section: Discussioncontrasting

confidence: 77%

“…Previous attempts at violence reduction in hospitals have been workplace-specific 15,28 and did not result in significant violence reduction. The elements of this project represent a standardized approach to workplace violence reporting, risk and hazard appraisal, and intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Others also utilized documented events 27 and examined the effects of a patient violence risk assessment system on hospital violence incident rates. 28 Using incident reports reduces recall bias, however none of those studies were randomized. Arnetz and Arnetz 14 conducted the only large-scale, randomized controlled workplace violence intervention in a healthcare setting.…”

Section: Introductionmentioning

confidence: 99%

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Preventing Patient-to-Worker Violence in Hospitals

Arnetz

Hamblin

Russell

et al. 2017

Journal of Occupational &Amp; Environmental Medicine

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Objective To evaluate the effects of a randomized controlled intervention on the incidence of patient-to-worker (Type II) violence and related injury in hospitals. Methods Forty-one units across 7 hospitals were randomized into intervention (n=21) and control (n=20) groups. Intervention units received unit-level violence data to facilitate development of an action plan for violence prevention; no data were presented to control units. Main outcomes were rates of violent events and injuries across study groups over time. Results Six months post-intervention, incident rate ratios of violent events were significantly lower on intervention units compared to controls (IRR 0.48, 95% CI 0.29-0.80). At 24 months, the risk for violence-related injury was lower on intervention units, compared to controls (IRR 0.37, 95% CI 0.17-0.83). Conclusion This data-driven, worksite-based intervention was effective in decreasing risks of patient-to-worker violence and related injury.

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Section: Discussioncontrasting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Preventing Patient-to-Worker Violence in Hospitals

Arnetz

Hamblin

Russell

et al. 2017

Journal of Occupational &Amp; Environmental Medicine

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“…Recently King, Yassi, Smailes, Lovato, and Koehoorn (2011) investigated the effectiveness of a violence risk assessment alert system in conjunction with existing violence prevention training in a large acute care hospital in Canada. Although the alert system was considered useful for identifying at risk patients, it had no impact on the rate of violence during either the intervention or post-intervention period compared with the pre-intervention period.…”

Section: Aggression and Violence Riskmentioning

confidence: 99%

Investigating the Evidence for the Effectiveness of Risk Assessment in Mental Health Care

Wand

2011

Issues in Mental Health Nursing

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Risk assessment pervades mental health care policy, practice, and legislation. This paper aims to establish the research evidence for the effectiveness of a risk assessment approach in mental health. A search was conducted of the professional literature on risk assessment in mental health, specifically seeking any research on the effectiveness of risk assessment in reducing risk of harm to self or others. The search found limited research on the effectiveness of risk assessment. "Structured professional judgment" possibly reduces aggression risk but there is no evidence that risk assessment is effective in relation to self-harm or suicide reduction. The implications for practice are discussed and alternatives to a risk assessment approach are considered.

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“…12,13 For example, Fernandes et al (2002) 12 implemented an educational program for emergency department employees to acquire skills in the prevention of workplace violence. This encompassed a four hour, interactive course with multiple components and teaching strategies.…”

Section: Introductionmentioning

confidence: 99%

Worksite Walkthrough Intervention

Hamblin

Essenmacher

Luborsky

et al. 2017

Journal of Occupational &Amp; Environmental Medicine

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Objective To describe the implementation of a data-driven, unit-based walkthrough intervention shown to be effective in reducing the risk of workplace violence in hospitals. Methods A structured worksite walkthrough was conducted on 21 hospital units. Unit-level workplace violence data were reviewed and a checklist of possible prevention strategies and an Action Plan form guided development of unit-specific intervention. Unit supervisor perceptions of the walkthrough and implemented prevention strategies were reported via questionnaires. Prevention strategies were categorized as either environmental, behavioral or administrative. Results A majority of units implemented strategies within 12 months’ post-intervention. Participants found the walkthrough useful, practical, and worthy of continued use. Conclusions Structured worksite walkthroughs provide a feasible method for workplace violence reduction in hospitals. Core elements are standardized yet flexible, promoting fidelity and transferability of this intervention.

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Evaluation of a violence risk assessment system (the Alert System) for reducing violence in an acute hospital: A before and after study

Cited by 36 publications

References 12 publications

Preventing Patient-to-Worker Violence in Hospitals

Preventing Patient-to-Worker Violence in Hospitals

Investigating the Evidence for the Effectiveness of Risk Assessment in Mental Health Care

Worksite Walkthrough Intervention

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