Application and implementation of the hazard risk matrix to identify hospital workplaces at risk for violence.
Arnetz-JE; Hamblin-L; Ager-J; Aranyos-D; Upfal-MJ; Luborsky-M; Russell-J; Essenmacher-L
Am J Ind Med 2014 Nov; 57(11):1276-1284
BACKGROUND: A key barrier to preventing workplace violence injury is the lack of methodology for prioritizing the allocation of limited prevention resources. The hazard risk matrix was used to categorize the probability and severity of violence in hospitals to enable prioritization of units for safety intervention. METHODS: Probability of violence was based on violence incidence rates; severity was based on lost time management claims for violence-related injuries. Cells of the hazard risk matrix were populated with hospital units categorized as low, medium, or high probability and severity. Hospital stakeholders reviewed the matrix after categorization to address the possible confounding of underreporting. RESULTS: Forty-one hospital units were categorized as medium or high on both severity and probability and were prioritized for forthcoming interventions. Probability and severity were highest in psychiatric care units. CONCLUSIONS: This risk analysis tool may be useful for hospital administrators in prioritizing units for violence injury prevention efforts.
Medical-facilities; Medical-personnel; Violence-prevention; Workers; Work-environment; Worker-health; Safety-practices; Safety-measures; Injuries; Preventive-medicine; Hazards; Health-care-personnel; Health-care-facilities; Injury-prevention;
Author Keywords: hazard risk matrix; health care workers; injury; risk assessment; workplace violence
Judith E. Arnetz, PhD, MPH, PT, Department of Family Medicine and Public Health Sciences, Division of Occupational and Environmental Health, Wayne State University School of Medicine, 3939 Woodward Ave, Detroit, MI 48201
American Journal of Industrial Medicine
Wayne State University - Detroit, Michigan