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Hospital workers bypass traditional occupational injury reporting systems when reporting patient and visitor perpetrated (type II) violence
Author(s) -
Pompeii Lisa A.,
Schoenfisch Ashley,
Lipscomb Hester J.,
Dement John M.,
Smith Claudia D.,
Conway Sadie H.
Publication year - 2016
Publication title -
american journal of industrial medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 104
eISSN - 1097-0274
pISSN - 0271-3586
DOI - 10.1002/ajim.22629
Subject(s) - medicine , occupational injury , occupational safety and health , visitor pattern , under reporting , injury prevention , medical record , suicide prevention , poison control , human factors and ergonomics , medical emergency , incident report , computer security , surgery , pathology , statistics , mathematics , computer science , programming language
Background Under‐reporting of type II (patient/visitor‐on‐worker) violence by workers has been attributed to a lack of essential event details needed to inform prevention strategies. Methods Mixed methods including surveys and focus groups were used to examine patterns of reporting type II violent events among ∼11,000 workers at six U.S. hospitals. Results Of the 2,098 workers who experienced a type II violent event, 75% indicated they reported. Reporting patterns were disparate including reports to managers, co‐workers, security, and patients’ medical records—with only 9% reporting into occupational injury/safety reporting systems. Workers were unclear about when and where to report, and relied on their own “threshold” of when to report based on event circumstances. Conclusions Our findings contradict prior findings that workers significantly under‐report violent events. Coordinated surveillance efforts across departments are needed to capture workers’ reports, including the use of a designated violence reporting system that is supported by reporting policies. Am. J. Ind. Med. 59:853–865, 2016. © 2016 Wiley Periodicals, Inc.