Review article: Workplace violence in the emergency department: A systematic review and meta analysis

被引:91
作者
Nikathil, Shradha [1 ,2 ]
Olaussen, Alexander [1 ,2 ,3 ,4 ]
Gocentas, Robert A. [1 ,2 ]
Symons, Evan [5 ]
Mitra, Biswadev [1 ,2 ,3 ]
机构
[1] Alfred Hosp, Natl Trauma Res Inst, Emergency & Trauma Ctr, Melbourne, Vic, Australia
[2] Monash Univ, Dept Epidemiol & Prevent Med, Melbourne, Vic, Australia
[3] Monash Univ, Natl Trauma Res Inst, Melbourne, Vic, Australia
[4] Monash Univ, Dept Community Emergency Hlth & Paramed Practice, Melbourne, Vic, Australia
[5] Alfred Hosp, Dept Psychiat, Melbourne, Vic, Australia
关键词
alcoholic intoxication; emergency medicine; incidence; violence exposure; workplace violence; PATIENT; STAFF; MANAGEMENT; AGGRESSION; AGITATION; SECURITY; HALOPERIDOL; RESTRAINT; QUALITY; TRIAL;
D O I
10.1111/1742-6723.12761
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Patient or visitor perpetrated workplace violence (WPV) has been reported to be a common occurrence within the ED. No universal definition of violence or recording of such events exists. In addition ED staff are often reluctant to report violent incidents. The true incidence of WPV is therefore unclear. This systematic review aimed to quantify WPV in EDs. The association of WPV to drug and alcohol exposure was explored. The databases MEDLINE, Embase, PsycInfo and the Cochrane Library were searched from their commencement to 10 March 2016. MeSH terms and text words for ED, violence and aggression were combined. A meta-analysis was conducted on the primary outcome variable-proportion of violent patients among total ED presentations. A secondary meta-analysis used studies reporting on proportion of drug and alcohol affected patients occurring within the violent population. The search yielded a total of 8720 records. A total of 7235 were unique and underwent abstract screening. A total of 22 studies were deemed relevant according to inclusion and exclusion criteria. Retrospective study design predominated, analysing mainly security records and incident reports. The rates of violence from individual studies ranged from 1 incident to 172 incidents per 10000 presentations. The pooled incidence suggests there are 36 violent patients for every 10000 presentations to the ED (95% confidence interval 0.0030-0.0043). WPV in the ED was commonly reported. There is wide heterogeneity across the study methodology, definitions and rates. More standardised recording and reporting may inform preventive measures and highlight effective management strategies.
引用
收藏
页码:265 / 275
页数:11
相关论文
共 52 条
[41]   Toxicological analysis in agitated patients [J].
Moritz, F ;
Goullé, JP ;
Girault, C ;
Clarot, F ;
Droy, JM ;
Muller, JM .
INTENSIVE CARE MEDICINE, 1999, 25 (08) :852-854
[42]   VIOLENCE AND GENERAL SECURITY IN THE EMERGENCY DEPARTMENT [J].
ORDOG, GJ ;
WASSERBERGER, J ;
ORDOG, C ;
ACKROYD, G ;
ATLURI, S .
ACADEMIC EMERGENCY MEDICINE, 1995, 2 (02) :151-154
[43]   AGGRESSION DIRECTED TOWARD EMERGENCY DEPARTMENT STAFF AT A UNIVERSITY-TEACHING-HOSPITAL [J].
PANE, GA ;
WINIARSKI, AM ;
SALNESS, KA .
ANNALS OF EMERGENCY MEDICINE, 1991, 20 (03) :283-286
[44]   Patient-related violence against emergency department nurses [J].
Pich, Jacqueline ;
Hazelton, Michael ;
Sundin, Deborah ;
Kable, Ashley .
NURSING & HEALTH SCIENCES, 2010, 12 (02) :268-274
[45]  
Rankins RG, 1999, ANN EMERG MED, V33, P676, DOI 10.1016/S0196-0644(99)70197-6
[46]  
Richards J R, 1998, J Emerg Med, V16, P567, DOI 10.1016/S0736-4679(98)00045-6
[47]  
Saloojee S, 2009, SAJP-S AFR J PSYCHI, V15, P67
[48]  
Stirling G, 2001, Accid Emerg Nurs, V9, P77, DOI 10.1054/aaen.2000.0204
[49]   RESTRAINT USE IN THE ELDERLY EMERGENCY DEPARTMENT PATIENT [J].
Swickhamer, Connie ;
Colvig, Cameron ;
Chan, Shu B. .
JOURNAL OF EMERGENCY MEDICINE, 2013, 44 (04) :869-874
[50]   Psychomotor agitation in emergency medicine settings [J].
Taranto, F. ;
Zanobini, V. ;
Goracci, A. ;
Bolognesi, S. ;
Fagiolini, A. .
EUROPEAN NEUROPSYCHOPHARMACOLOGY, 2015, 25 :S372-S372