Sheila Mallett-Smith, Ahlam Jadalla, Kholoud Hardan-Khalil, Laura Sarff, Margaret Brady
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Implementation of an Assault Prevention Quality Improvement Initiative in an Urban Emergency Department.
Background: Emergency department (ED) health care workers experience high rates of workplace violence (WPV).
Local problem: Patient-to-staff physical assaults at an urban, academic adult ED ranged between 1 and 5 per month, with a rate of 0.265 per 1000 patient visits.
Methods: A quality improvement initiative, guided by the Social Ecological Model framework that contextualized WPV in the ED setting, informed the development of a Risk for Violence Screening Tool (RVST) to screen adult patients presenting to the ED.
Interventions: Plan-Do-Study-Act cycles were utilized to implement a violence prevention bundle that incorporated the RVST, an alert system, and focused assault reduction strategies.
Results: Patient-to-staff physical assaults decreased to a rate of 0.146 per 1000 patient visits.
Conclusions: Risk for violence screening, an alert system, and assault prevention strategies provide opportunities for nurse leaders to promote ED workplace safety.
期刊介绍:
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.