Violence and aggression in the emergency department

James, Anthony A.; Madeley, Richard; Dove, A F

doi:10.1136/emj.2005.028621

Cited by 62 publications

(57 citation statements)

References 5 publications

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“…87.9% of our sample group stated that they had been exposed to physical or verbal violence in the emergency department, in one way or another. This result is consistent with studies conducted both in other countries and in our country (15,16). We suggest that the provided service being healthcare, together with the care given group being patients and/or patient relatives, who are under stress due to their diseases, expectancies being high and absence of effective institutional and legal regulations are best indicators of the problems encountered with the crowding in the emergency department (17).…”

Section: Discussionsupporting

confidence: 80%

Perspectives of Emergency Department Staff on Triage Practice

Bilir¹,

Ersunan²,

Kalkan³

et al. 2017

meandros

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Objective: The aim of this study was to evaluate pre-training perspectives of the staff, who were scheduled to undertake triage in hospitals of Ministry of Health, working in collaboration with university hospitals on the triage system. Materials and Methods: This study included 33 workers who volunteered to participate. A questionnaire consisting of 19 questions on demographic characteristics and perspective on triage system was prepared. Results: Of the sample group, 75.8% were female and the average age was 28.94±6.11 years. All participants in the study considered that emergency department was overused by the society. When the percentage of patients who were admitted to the emergency department for causes complying with the emergency criteria was questioned, 54.5% stated that 10% or less of the admissions were actual emergency cases. Triage practice was suggested by 54.5% of the participants to reduce crowding in emergency departments. Conclusion: Triage practice which allows correct identification of patients who need the most urgent intervention in emergency departments is important in terms of both giving the right care to the right patients and quality of service provided by healthcare workers. Community-based education as well as training of workers on this subject is a necessity.Amaç: Üniversite hastaneleriyle ortak hizmet veren Sağlık Bakanlığı Hastaneleri'nde triaj hizmeti vermesi planlanan personelin eğitim öncesinde bu uygulamaya bakış açısının değerlendirilmesidir. Gereç ve Yöntemler: Bu çalışmaya gönüllü 33 çalışan dahil edildi. Anket formu sosyo-demografik bilgiler, acil sağlık hizmetleri ve triaja ilişkin konularda görüş isteyen 19 sorudan oluşan yargısal anket ölçeğiyle hazırlanmıştır. Bulgular: Örneklem grubunun %75,8'i kadın ve yaş ortalaması 28,94±6,11 idi. Çalışmaya dahil olan tüm katılımcılar acil servisin toplum tarafından gereksiz kullanıldığını belirtti. Acil servise herhangi bir nedenle başvuran hastaların ne kadarının acil kriterlerine uygun olduğu sorgulandığında ise %54,5 katılımcı bu oranın %10 ve daha az olduğunu bildirildi. Grubun %54,5'i, triaj uygulamasının acil servis kalabalığını azaltacağını düşünmekteydi. Sonuç: Triajın acil serviste uygulanması hem öncelikli hastaların bakımı hem de sağlık çalışanlarının sunduğu hizmetin kalitesini açısından önemlidir. Bu konuda çalışanların eğitimi kadar toplumsal bazlı bilgilendirmenin de yapılması gerekmektedir.Ad dress for Cor res pon den ce/Ya zış ma Ad re si:

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Section: Discussionsupporting

confidence: 80%

Perspectives of Emergency Department Staff on Triage Practice

Bilir¹,

Ersunan²,

Kalkan³

et al. 2017

meandros

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“…Documentation of aggressive patients has already commenced in the National Health Service of the UK. Hong Kong hospitals may adopt a similar idea by providing remarks on the X-ray examination form to forewarn radiographers, which in turn can increase their awareness of repeat offenders with previous violent records 35) . In conclusion, it is unrealistic to expect that violence, especially verbal abuse, will completely disappear.…”

Section: Department Supportmentioning

confidence: 99%

Workplace Violence—A Survey of Diagnostic Radiographers Working in Public Hospitals in Hong Kong

Yeung

Cheung

et al. 2009

Journal of Occupational Health

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Methods: Frontline radiographers, from seven regional hospitals, who performed duties in general radiography, were provided with a workplace violence questionnaire. General radiography refers to plain film X-ray services in general rooms (including out patient clinics), A&E and portable services on wards. Materials relating to workplace violence, for example guidelines and training information, were provided by hospital managers. Results: Out of 281 questionnaires, 150 were returned (response rate of 53%). Sixty-one percent of radiographers had experienced violence in the past 3 yr and 34% of victims had encountered incidents more than 5 times. From respondents who had experienced abuse, verbal abuse (97%) was most frequently reported, and the predominant source of violence was patients (p<0.0001). Respondents identified long waiting times, communication issues and understaffing as key risk factors. The Accident & Emergency Department was the highest risk area (p<0.0001). Almost two thirds (65.91%) of radiographers who experienced verbal abuse ignored events. Although no severe injury was reported, indirect impact, including increased work stress, job dissatisfaction, depression and increased sick leave, were highlighted as negative consequences of violence. 77% of respondents felt that support from departments was inadequate and only 11% had attended courses on prevention of Field Study occupational violence. Conclusions: Workplace violence is a critical problem in Hong Kong. Further research is recommended to investigate the problem.

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“…Este uso inadecuado es señalado por los expertos como de máxima prioridad entre los problemas planteados. Otros aspectos señala-dos en la literatura y manifestados por los expertos refieren el uso de los servicios por pacientes hiperfrecuentadores habituales 32,33 y la utilización de violencia por parte del usuario [34][35][36] , aspectos a considerar por los proveedores del servicio.…”

Section: Discussionunclassified

Identificación de problemas y propuestas para mejorar la atención de las urgencias extrahospitalarias en Navarra: un estudio Delphi

Pérez-Ciordia

Brugos

Guillén-Grima

et al. 2011

Anales Sis San Navarra

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Fundamento. Las urgencias extrahospitalarias de Navarra sufrieron modificaciones en la organización hace dos años, destacando la creación del servicio de urgencias rural (SUR) que coexiste geográficamente con el servicio normal de urgencias. El objetivo del estudio es conocer la opinión de expertos sobre los problemas y las recomendaciones de mejora que afectan a las urgencias extrahospitalarias.Metodología. Se realizó un estudio Delphi con la participación de 37 expertos (médicos y enfermeras). Por medio del correo electrónico se realizan 3 rondas de cuestionarios sucesivos. El último cuestionario identifica el grado de acuerdo con las ideas del grupo y se identifican los 15 problemas y recomendaciones más relevantes, seleccionando aquellas ideas que alcancen, al menos, el 50 % de acuerdo y una prioridad superior al percentil 25. Agrupamos las ideas mediante análisis de clúster jerárquico.resultados. Se identifican 4 clúster de problemas, destacando entre ellos que "la población utiliza las urgencias para patología banal, como una consulta más" con una puntuación de 297 puntos. De las recomendaciones, con 3 clúster identificados, destaca la "necesidad de diseñar un plan estratégico de atención a las urgencias con unos recursos acorde a las necesidades" (310 puntos de prioridad) y "enviar mensajes claros a la población sobre uso correcto de urgencias" (192 puntos de prioridad). conclusión. El método Delphi identifica problemas y áreas de mejora a través del consenso.Palabras clave. Delphi. Urgencias. Servicios de Salud. aBstract Background. Two years ago there were alterations to outpatient A and E departments in Navarre; in particular, a rural A and E service (Servicio de Urgencias Rural, SUR) was set up, which coexists geographically with the normal A and E service. The aim of this study is to determine the opinion of experts on problems and recommendations for improvements that affect outpatient A and E services. Methodology.A Delphi study was carried out with the participation of 37 experts (doctors and nurses). Three successive rounds of questionnaires were completed using email. The final questionnaire identified degree of agreement with the group's ideas, and the 15 most relevant problems and recommendations were identified; those ideas that were selected achieved at least 50% agreement and their priority was above 25%. We grouped the ideas using a hierarchic cluster analysis.results. Four cluster problems were identified; the most outstanding amongst them being "the population uses A and E for banal pathologies, just like any other consultation" with a score of 297 points. Outstanding amongst the recommendations, with 3 identified clusters, were the "need to design a strategic plan for A and E care with resources appropriate to the needs" (310 priority points) and "sending clear messages to the population on the correct use of A and E" (192 priority points).conclusion. The Delphi method identifies problems and improvement areas through consensus.

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Violence and aggression in the emergency department

Abstract: Departments should seek to monitor individuals responsible for episodes of violence and aggression in order to detect repeat offenders. A prospective study comprising post-incident reviews may provide a valuable insight into the causes of violence and aggression.

Cited by 62 publications

References 5 publications

Perspectives of Emergency Department Staff on Triage Practice

Perspectives of Emergency Department Staff on Triage Practice

Workplace Violence—A Survey of Diagnostic Radiographers Working in Public Hospitals in Hong Kong

Identificación de problemas y propuestas para mejorar la atención de las urgencias extrahospitalarias en Navarra: un estudio Delphi

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