Development and Evaluation of a Comprehensive Hospital Violence Surveillance Syst

描述(由申请人提供)：近年来，针对医院工作人员的暴力行为已成为一个日益严重的公共卫生问题，在最近的研究中，12个月的患病率估计从23%到74%不等。这些估计被认为是保守的，因为几项研究已经观察到，医院工作人员经常将暴力事件视为“工作的一部分”，严重低估了他们经历的暴力事件。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的案例，以及医院环境中这些事件的详细情况。在没有这些数据的情况下，政策制定是非正式的，或者通常是基于哨兵事件。我们建议设计和实施一个全面的监测系统，以系统地捕捉病人和医院访客对医院工作人员施加的工作场所暴力事件。这一制度将涉及通过这些研究医院现有的制度设计和实施改进的报告机制，以及制定和执行暴力报告政策和程序。这项研究将在德克萨斯州和北卡罗来纳州的两个大型医疗系统中进行。我们将与每个研究医院的主要利益攸关方合作，制定和实施报告制度和报告政策，并促进和教育工作人员有关新的报告机制。我们会评估每间医院加强的工作场所暴力监察系统的整合程度。这项研究致力于NIOSH促进雇主进行有效的职业健康监测的战略目标。 公共卫生相关性：这项研究将涉及在包括六家医院在内的两个大型医院系统中开发和评估工作场所暴力监测系统。我们将使用现有的和新收集的数据来检查患者访客针对医院工作人员发起的暴力事件的发生率和发生率。这项研究还将包括研究实践(R2P)部分，涉及这些医院的关键利益相关者，他们将使用这些监控数据来制定新的或改进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