Using a System-Wide Database to Reduce Workplace Violence in Hospitals

项目总结/摘要 在一般医院环境中，对卫生保健工作者的暴力是一个重要的职业问题， 威胁员工安全、健康、工作效率、保留和护理质量的危险。 NIOSH制定了旨在减少心理不健康工作的战略目标 环境，特别是工作场所暴力，在1700万雇员中， 保健和社会援助部门。[然而，医院缺乏实用和可持续的系统， 工作场所暴力风险评估和预防。迫切需要标准化， 工作场所暴力数据收集，流行病学风险分析，并将收集的数据转化为 有效的预防暴力工作]。这项建议的长远目标是发展 工作场所暴力监测、风险评估和预防的标准化方法。的 该项目的具体目标是：（1）编制和评价标准化的数据库生成的报告 医院安全代表根据最终用户规范记录的暴力事件， 职业健康、护理、安全、人力资源[和劳工];（2）制定和实施 策略[使用CDC/NIOSH危害风险矩阵][研究数据库数据和]帮助医院 管理层[和劳动力]优先考虑[工作场所]暴力干预措施;以及（3）预防性评估 通过比较[暴力发生率和受伤率，工作， 满意度和工作人员在[随机]干预和控制工作场所的工作安全文化]。 这项工作将在一个拥有14 500名雇员的多地点大都市医院系统内进行。在 以前的工作与医院系统的[独特]数据库，这个研究小组已经开发出 计算[工作场所]暴力发生率和风险因素的方法。拟议 参与性行动研究项目将在这一方法的基础上，利用现有的 电子数据收集系统和数据库，并与职业 医院系统内的健康、安全、护理、保安、人力资源和劳动专业人员。 利用焦点小组讨论，我们将开发用户[适应]，标准化，计算机生成的 工作场所暴力发生率和风险因素的报告，根据这些[关键] 医院系统利益相关者]。在下一阶段，这些工作场所暴力报告将使用 危害风险矩阵，作为评估分配预防暴力优先事项的框架 努力根据该组织的分析，[以现场演练形式进行的暴力干预]将 使用[随机]设计进行实施和评价。这项研究的结果可能会 作为工作场所暴力监测、风险评估和 和预防，可以用于全国医院系统[以改善工人的健康和安全]。

Project Summary/Abstract Violence towards health care workers in general hospital environments is a significant occupational hazard that threatens employee safety, health, work productivity, retention, and the quality of care. NIOSH has established strategic goals aimed at the reduction of psychologically unhealthy work environments generally, and workplace violence specifically, among the 17 million employees within the Health Care and Social Assistance sector. [However, hospitals lack practical and sustainable systems for workplace violence risk assessment and prevention. There is a pressing need for standardization of workplace violence data collection, epidemiological risk analysis, and translation of collected data into effective violence prevention efforts.] The long-term objective of this proposal is to develop standardized methodology for workplace violence surveillance, risk assessment, and prevention. The specific aims of this project are to: (1) Develop and evaluate standardized, database-generated reports of documented violent incidents attuned to end-user specifications by representatives of hospital safety, occupational health, nursing, security, human resources, [and labor]; (2) Develop and implement strategies [using the CDC/NIOSH Hazard Risk Matrix] for [studying database data and] helping hospital management [and labor] to prioritize [worksites for] violence interventions; and (3) Prospectively evaluate the effect of [a worksite walkthrough] intervention by comparing [violence incidence and injury rates, work satisfaction, and staff-perceived work safety culture at [randomized] intervention and control worksites]. This work will be carried out within a multi-site metropolitan hospital system with 14,500 employees. In previous work with the hospital system's [unique] database, this research team has developed methodology for calculating incidence rates and risk factors for [workplace] violence. The proposed participatory action research project will build further on that methodology, utilizing the existing electronic data collection system and database, and working in active collaboration with occupational health, safety, nursing, security, human resource and labor professionals within the hospital system. Using focus group discussions, we will develop user-[adapted], standardized, computer-generated reports of workplace violence incidence rates and risk factors based on the specifications of these [key hospital system stakeholders]. In the next phase, these workplace violence reports will be studied using the Hazard Risk Matrix as a framework for assessing priorities for allocation of violence prevention efforts. Based on the group's analysis, [a violence intervention in the form of a worksite walkthrough] will be implemented and evaluated, using a [randomized] design. Results from this research could potentially be the foundation for a standardized methodology for workplace violence surveillance, risk assessment and prevention that could be used in hospital systems nationwide [to improve worker health and safety].