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Violence in the Health Care Environment

Violence in the Health Care Environment Abstract The rapid rise in the incidence of violence in our society is an increasing risk to all Americans. As violence increases for our patients and in society around us, it becomes an ever greater problem for all health care personnel. The number of threats and violent acts against health care providers has been steadily increasing in recent years. The most effective method of managing violence is to prevent it. A critical step in prevention is in differentiating between an angry individual and a potentially violent individual based on his or her speech, appearance, and behavior. Heightened security and changes in the medical environment are additional ways of preventing violence. Management of a violent incident includes early recognition, de-escalation techniques, and a collaborative effort with security personnel. (Arch Otolaryngol Head Neck Surg. 1996;122:11-16) References 1. Mason J. From the Assistant Secretary for Health, US Public Health Service: reducing youth violence–the physician's role . JAMA . 1992;267:3003.Crossref 2. US Federal Bureau of Investigation. Uniform Crime Reports for the United States . Washington, DC: US Dept of Justice, US Government Printing Office; 1992. 3. Worthington K. Taking action against violence in the workplace . Am Nurse . (June) 1993:11-13. 4. Kochanek KD, Hudson BL. Advance Report of Final Mortality Statistics, 1992 . Hyattsville, Md: National Center for Health Statistics; 1994;43 ( (suppl) ):6. Monthly Vital Statistics Report. 5. Crime in hospitals 1988, 1989: the latest IAHSS surveys . J Healthcare Protect Manage . 1991;7: 1-29. 6. Lavoie FW, Carter GL, Danzl DF, Berg RL. Emergency department violence in US teaching hospitals . Ann Emerg Med . 1988;17:1227-1233.Crossref 7. Violence in hospitals: what are the causes? why is it increasing? how is it being confronted? Hosp Secur Safety Manage . 1993;13:5-10. Special Report. 8. Interdisciplinary cooperation to combat health care violence: still a long way to go . Hosp Secur Safety Manage . 1993;14:5-9. Special Report. 9. American Psychiatric Association. Clinical Aspects of the Violent Individual: Task Force Report 8 . Washington, DC: American Psychiatric Association; 1974. 10. Increased violence in hospitals: what can be done about it . Hosp Secur Safety Manage . 1992;12: 5-11. Special Report. 11. Arnott CO. Managing Violent and Potentially Violent Persons . Ann Arbor, Mich: Dept of Security, University of Michigan Hospitals; 1993:1-27. 12. Dubin WR. Evaluating and managing the violent patient . Ann Emerg Med . 1981;10:481-484.Crossref 13. Blumenreich PE, ed. Managing the Violent Patient: A Clinician's Guide . New York, NY: Brunner Mazel; 1993. 14. American Psychiatric Association. Task Force Report 33 on Clinician Safety . Washington, DC: American Psychiatric Association; 1992:1-30. 15. Blumenreich P, Lippmann S, Bacani-Oropilla T. Violent patients: are you prepared to deal with them? Postgrad Med . 1991;90:201-206. 16. Health Care Advisory Board Report. Violence Prevention in the Emergency Department . Washington, DC: Health Care Advisory Board; 1993. 17. Drummond DJ, Sparr LF, Gordon GH. Hospital violence reduction among high-risk patients . JAMA . 1989;261:2531-2534.Crossref 18. Thompson BM, Nunn J, Kramer I, et al. Disarming the department: weapon screening and improved security to create a safer emergency department environment . Ann Emerg Med . 1988; 17:419. 19. Brantley A. Rising violence in ERs cause hospitals to redesign security . Mod Healthcare . (October 5) , 1992:44-46. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

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References (19)

Publisher
American Medical Association
Copyright
Copyright © 1996 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1996.01890130007001
Publisher site
See Article on Publisher Site

Abstract

Abstract The rapid rise in the incidence of violence in our society is an increasing risk to all Americans. As violence increases for our patients and in society around us, it becomes an ever greater problem for all health care personnel. The number of threats and violent acts against health care providers has been steadily increasing in recent years. The most effective method of managing violence is to prevent it. A critical step in prevention is in differentiating between an angry individual and a potentially violent individual based on his or her speech, appearance, and behavior. Heightened security and changes in the medical environment are additional ways of preventing violence. Management of a violent incident includes early recognition, de-escalation techniques, and a collaborative effort with security personnel. (Arch Otolaryngol Head Neck Surg. 1996;122:11-16) References 1. Mason J. From the Assistant Secretary for Health, US Public Health Service: reducing youth violence–the physician's role . JAMA . 1992;267:3003.Crossref 2. US Federal Bureau of Investigation. Uniform Crime Reports for the United States . Washington, DC: US Dept of Justice, US Government Printing Office; 1992. 3. Worthington K. Taking action against violence in the workplace . Am Nurse . (June) 1993:11-13. 4. Kochanek KD, Hudson BL. Advance Report of Final Mortality Statistics, 1992 . Hyattsville, Md: National Center for Health Statistics; 1994;43 ( (suppl) ):6. Monthly Vital Statistics Report. 5. Crime in hospitals 1988, 1989: the latest IAHSS surveys . J Healthcare Protect Manage . 1991;7: 1-29. 6. Lavoie FW, Carter GL, Danzl DF, Berg RL. Emergency department violence in US teaching hospitals . Ann Emerg Med . 1988;17:1227-1233.Crossref 7. Violence in hospitals: what are the causes? why is it increasing? how is it being confronted? Hosp Secur Safety Manage . 1993;13:5-10. Special Report. 8. Interdisciplinary cooperation to combat health care violence: still a long way to go . Hosp Secur Safety Manage . 1993;14:5-9. Special Report. 9. American Psychiatric Association. Clinical Aspects of the Violent Individual: Task Force Report 8 . Washington, DC: American Psychiatric Association; 1974. 10. Increased violence in hospitals: what can be done about it . Hosp Secur Safety Manage . 1992;12: 5-11. Special Report. 11. Arnott CO. Managing Violent and Potentially Violent Persons . Ann Arbor, Mich: Dept of Security, University of Michigan Hospitals; 1993:1-27. 12. Dubin WR. Evaluating and managing the violent patient . Ann Emerg Med . 1981;10:481-484.Crossref 13. Blumenreich PE, ed. Managing the Violent Patient: A Clinician's Guide . New York, NY: Brunner Mazel; 1993. 14. American Psychiatric Association. Task Force Report 33 on Clinician Safety . Washington, DC: American Psychiatric Association; 1992:1-30. 15. Blumenreich P, Lippmann S, Bacani-Oropilla T. Violent patients: are you prepared to deal with them? Postgrad Med . 1991;90:201-206. 16. Health Care Advisory Board Report. Violence Prevention in the Emergency Department . Washington, DC: Health Care Advisory Board; 1993. 17. Drummond DJ, Sparr LF, Gordon GH. Hospital violence reduction among high-risk patients . JAMA . 1989;261:2531-2534.Crossref 18. Thompson BM, Nunn J, Kramer I, et al. Disarming the department: weapon screening and improved security to create a safer emergency department environment . Ann Emerg Med . 1988; 17:419. 19. Brantley A. Rising violence in ERs cause hospitals to redesign security . Mod Healthcare . (October 5) , 1992:44-46.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Jan 1, 1996

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