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

使用全系统数据库减少医院工作场所暴力

• 批准号: 8332654
• 负责人: Judith Arnetz
• 金额: $ 42.89万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-01 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8332654
• 关键词: Using; System; Wide; Database; Reduce

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].

项目概要/摘要 在一般医院环境中针对医护人员的暴力是一种重要的职业行为 威胁员工安全、健康、工作效率、保留率和护理质量的危险。 NIOSH 制定了旨在减少心理不健康工作的战略目标 在 1700 万员工中，总体环境，特别是工作场所暴力 医疗保健和社会援助部门。 [然而，医院缺乏实用且可持续的系统 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、流行病学风险分析以及将收集到的数据转化为 有效的暴力预防工作。] 该提案的长期目标是制定 工作场所暴力监测、风险评估和预防的标准化方法。这 该项目的具体目标是： (1) 开发和评估标准化的数据库生成报告 由医院安全代表根据最终用户的规格记录的暴力事件， 职业健康、护理、安全、人力资源[和劳工]； （二）制定并实施 [使用 CDC/NIOSH 危害风险矩阵] [研究数据库数据并]帮助医院的策略 管理层[和劳工]优先考虑暴力干预[工作场所]； (3) 前瞻性评估 通过比较[暴力发生率和伤害率、工作情况]来评估[工作场所演练]干预的效果 [随机]干预和控制工作场所]的满意度和工作人员感知的工作安全文化。 这项工作将在拥有 14,500 名员工的多地点大城市医院系统内进行。在 之前与医院系统[独特]数据库的合作，该研究团队开发了 计算[工作场所]暴力发生率和风险因素的方法。拟议的 参与性行动研究项目将进一步建立在该方法的基础上，利用现有的 电子数据收集系统和数据库，并与职业部门积极合作 医院系统内的健康、安全、护理、安保、人力资源和劳工专业人员。 通过焦点小组讨论，我们将开发用户[适应]、标准化、计算机生成的 根据这些[关键]的规范，报告工作场所暴力发生率和风险因素 医院系统利益相关者]。在下一阶段，将使用这些工作场所暴力报告进行研究 危害风险矩阵作为评估暴力预防分配优先事项的框架 努力。根据该小组的分析，[以工作现场演练的形式进行暴力干预]将 使用[随机]设计来实施和评估。这项研究的结果可能 成为工作场所暴力监测、风险评估标准化方法的基础 以及可用于全国医院系统的预防措施[以改善工人的健康和安全]。