Hospital employee assault rates before and after enactment of the California Hospital Safety and Security Act.
Casteel-C; Peek-Asa-C; Nocera-M; Smith-JB; Blando-J; Goldmacher-S; O'Hagan-E; Valiante-D; Harrison-R
Ann Epidemiol 2009 Feb; 19(2):125-133
Purpose: This study examines changes in violent event rates to hospital employees before and after enactment of the California Hospital Safety and Security Act in 1995. Methods: We compared pre- and post-initiative employee assault rates in California (n = 116) emergency departments and psychiatric units with those in New Jersey (n = 50), where statewide workplace violence initiatives do not exist. Poisson regression with generalized estimating equations was used to compare assault rates between a 3-year pre-enactment period (1993-1995) and a 6-year post-enactment period (1996-2001) using New Jersey hospitals as a temporal control. Results: Assault rates among emergency department employees decreased 48% in California post-enactment, compared with emergency department employee assault rates in New Jersey (rate ratio [RR] = 0.52, 95% confidence interval [CI]: 0.31, 0.90). Emergency department employee assault rates decreased in smaller facilities (RR = 0.46, 95% CI: 0.21, 0.96) and for-profit-controlled hospitals (RR = 0.39, 95% CI: 0.19, 0.79) post-enactment. Among psychiatric units, for-profit-controlled hospitals (RR = 0.41, 95% CI: 0.19, 0.85) and hospitals located in smaller communities (RR = 0.44, 95% CI: 0.21, 0.92) experienced decreased assault rates post-enactment. Conclusion: Policy may be an effective method to increase safety to health care workers.
Demographic-characteristics; Health-care-facilities; Health-care-personnel; Health-hazards; Injuries; Injury-prevention; Medical-personnel; Occupational-psychology; Occupational-safety-programs; Psychological-factors; Psychological-responses; Quantitative-analysis; Risk-analysis; Risk-factors; Safety-education; Safety-measures; Safety-practices; Safety-programs; Safety-research; Statistical-analysis; Training; Work-environment; Worker-health; Worker-motivation; Work-organization; Work-performance; Workplace-monitoring; Workplace-studies; Work-practices;
Author Keywords: Violence; Hospitals; Legislation
Carri Casteel, PhD, University of North Carolina at Chapel Hill, Department of Epidemiology, 137 E. Franklin Street, Suite 500, CB 7505, Chapel Hill, NC 27599-7505
Annals of Epidemiology
University of Iowa