Development and Evaluation of a Comprehensive Hospital Violence Surveillance Syst

描述（由申请人提供）：近年来，医院环境中对工人的暴力行为已成为一个日益严重的公共卫生问题，最近的研究显示，12个月的患病率估计为23%至74%。这些估计被认为是保守的，因为几项研究观察到医院工作人员经历的暴力事件被严重低估，他们经常接受这是“工作的一部分”。“据报道，病人和来访者实施的暴力是这种情况下最常见的暴力类型。缺乏标准化的监测方法来捕捉工作场所暴力事件，以及医院环境中这些事件的详细情况。如果没有这些数据，政策的制定就只能是非正式的，或者往往是根据重要事件制定的。我们建议设计和实施一个全面的监察系统，有系统地记录病人和医院访客对医院员工施加的工作场所暴力事件。这一系统将涉及通过这些研究医院现有的系统设计和实施强化报告机制，以及制定和实施暴力报告政策和程序。这项研究将在位于德克萨斯州和北卡罗来纳州的两个大型医疗系统进行。我们将与每个研究医院的主要利益相关者合作，制定和实施报告系统和报告政策，并促进和教育工作者了解新的报告机制。我们将评估每家医院加强工作场所暴力监测系统的整合程度。这项研究探讨了NIOSH促进雇主进行有效职业健康监测的战略目标。 公共卫生相关性：这项研究将涉及在两个大型医院系统（包括六家医院）开发和评估工作场所暴力监测系统。我们将利用现有的和新收集的数据来研究由病人和访客对医院工作人员发起的暴力行为的普遍性和发生率。这项研究还将包括一个研究实践（R2P）组成部分，涉及这些医院的主要利益相关者，他们将使用这些监测数据制定新的或完善现有的工作场所暴力报告政策和程序

DESCRIPTION (provided by applicant): Violence against workers in the hospital setting has become a growing public health concern in recent years, with 12-month prevalence estimates ranging from 23% to 74% in recent studies. These estimates are considered conservative given that several studies have observed significant underreporting of violent episodes experienced by hospital workers who often accept this as "part of the job." Violence perpetrated by patients and visitors has been reported to be the most common type of violence in this setting. There is a lack of standardized surveillance methodology to capture incident cases of workplace violence, as well as details about the circumstances surrounding these events in the hospital setting. Without these data, policy development is made informally or often based on sentinel events. We propose to design and implement a comprehensive surveillance system that serves to systematically capture episodes of workplace violence inflicted on hospital workers by patients and hospital visitors. This system will involve the design and implementation of enhanced reporting mechanisms through existing systems currently in place in these study hospitals, as well as the development and implementation of violence reporting policies and procedures. This study will take place in two large medical systems located in Texas and North Carolina. We will partner with key stakeholders in each study hospital to develop and implement both the reporting system and reporting policies, as well as promote and educate workers about the new mechanisms for reporting. We will assess the level of integration of the enhanced workplace violence surveillance system in each hospital. This research study addresses NIOSH's strategic goal for promoting effective occupational health surveillance conducted by employers. PUBLIC HEALTH RELEVANCE: This study will involve the development and evaluation of a workplace violence surveillance system in two large hospital systems, including six hospitals. We will use existing and newly collected data to examine the prevalence and incidence of violence initiated by patients visitors directed towards hospital workers. This study will also include a research to practice (R2P) component involving key stakeholders from these hospitals who will use these surveillance data to develop new, or refine existing, workplace violence reporting policies and procedures