Perpetrator, worker and workplace characteristics associated with patient and visitor perpetrated violence (Type II) on hospital workers: a review of the literature and existing occupational injury data.
Pompeii L; Dement J; Schoenfisch A; Lavery A; Souder M; Smith C; Lipscomb H
Problem: Non-fatal type II violence experienced by hospital workers (patient/visitor-on-worker violence) is not well described. Methods: Hospital administration data (2004-2009) were examined for purposes of calculating rates of type II violent events experienced by workers. We also conducted a review of the hospital-based literature (2000-2010) and summarized findings associated with type II violence. Results: 484 physical assaults were identified in the data, with a rate of 1.75 events/100 full-time equivalents. Only few details about events were captured, while non-physical events were not captured. The literature yielded 17 studies, with a range proportion of verbal abuse (22%-90%), physical threats (12%-64%) and assaults (2%-32%) reported. The literature lacked rigorous methods for examining incidence and circumstances surrounding events or rates of events over time. Discussion: For purposes of examining the impact of type II violence onworker safety, satisfaction and retention, rigorous surveillance efforts by hospital employers and researchers are warranted.
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