In-Hospital Violence and Its Impact on Critical Care Practitioners
To provide a narrative review of hospital violence (HV) and its impact on critical care clinicians. Detailed search strategy using PubMed and OVID Medline for English language articles describing HV, risk factors, precipitating events, consequences, and mitigation strategies. Studies that specifical...
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| Veröffentlicht in: | Critical care medicine Jg. 52; H. 7; S. 1113 |
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| Format: | Journal Article |
| Sprache: | Englisch |
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United States
01.07.2024
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| ISSN: | 1530-0293, 1530-0293 |
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| Abstract | To provide a narrative review of hospital violence (HV) and its impact on critical care clinicians.
Detailed search strategy using PubMed and OVID Medline for English language articles describing HV, risk factors, precipitating events, consequences, and mitigation strategies.
Studies that specifically addressed HV involving critical care medicine clinicians or their practice settings were selected. The time frame was limited to the last 15 years to enhance relevance to current practice.
Relevant descriptions or studies were reviewed, and abstracted data were parsed by setting, clinician type, location, social media events, impact, outcomes, and responses (agency, facility, health system, individual).
HV is globally prevalent, especially in complex care environments, and correlates with a variety of factors including ICU stay duration, conflict, and has recently expanded to out-of-hospital occurrences; online violence as well as stalking is increasingly prevalent. An overlap with violent extremism and terrorism that impacts healthcare facilities and clinicians is similarly relevant. A number of approaches can reduce HV occurrence including, most notably, conflict management training, communication initiatives, and visitor flow and access management practices. Rescue training for HV occurrences seems prudent.
HV is a global problem that impacts clinicians and imperils patient care. Specific initiatives to reduce HV drivers include individual training and system-wide adaptations. Future methods to identify potential perpetrators may leverage machine learning/augmented intelligence approaches. |
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| AbstractList | To provide a narrative review of hospital violence (HV) and its impact on critical care clinicians.OBJECTIVESTo provide a narrative review of hospital violence (HV) and its impact on critical care clinicians.Detailed search strategy using PubMed and OVID Medline for English language articles describing HV, risk factors, precipitating events, consequences, and mitigation strategies.DATA SOURCESDetailed search strategy using PubMed and OVID Medline for English language articles describing HV, risk factors, precipitating events, consequences, and mitigation strategies.Studies that specifically addressed HV involving critical care medicine clinicians or their practice settings were selected. The time frame was limited to the last 15 years to enhance relevance to current practice.STUDY SELECTIONStudies that specifically addressed HV involving critical care medicine clinicians or their practice settings were selected. The time frame was limited to the last 15 years to enhance relevance to current practice.Relevant descriptions or studies were reviewed, and abstracted data were parsed by setting, clinician type, location, social media events, impact, outcomes, and responses (agency, facility, health system, individual).DATA EXTRACTIONRelevant descriptions or studies were reviewed, and abstracted data were parsed by setting, clinician type, location, social media events, impact, outcomes, and responses (agency, facility, health system, individual).HV is globally prevalent, especially in complex care environments, and correlates with a variety of factors including ICU stay duration, conflict, and has recently expanded to out-of-hospital occurrences; online violence as well as stalking is increasingly prevalent. An overlap with violent extremism and terrorism that impacts healthcare facilities and clinicians is similarly relevant. A number of approaches can reduce HV occurrence including, most notably, conflict management training, communication initiatives, and visitor flow and access management practices. Rescue training for HV occurrences seems prudent.DATA SYNTHESISHV is globally prevalent, especially in complex care environments, and correlates with a variety of factors including ICU stay duration, conflict, and has recently expanded to out-of-hospital occurrences; online violence as well as stalking is increasingly prevalent. An overlap with violent extremism and terrorism that impacts healthcare facilities and clinicians is similarly relevant. A number of approaches can reduce HV occurrence including, most notably, conflict management training, communication initiatives, and visitor flow and access management practices. Rescue training for HV occurrences seems prudent.HV is a global problem that impacts clinicians and imperils patient care. Specific initiatives to reduce HV drivers include individual training and system-wide adaptations. Future methods to identify potential perpetrators may leverage machine learning/augmented intelligence approaches.CONCLUSIONSHV is a global problem that impacts clinicians and imperils patient care. Specific initiatives to reduce HV drivers include individual training and system-wide adaptations. Future methods to identify potential perpetrators may leverage machine learning/augmented intelligence approaches. To provide a narrative review of hospital violence (HV) and its impact on critical care clinicians. Detailed search strategy using PubMed and OVID Medline for English language articles describing HV, risk factors, precipitating events, consequences, and mitigation strategies. Studies that specifically addressed HV involving critical care medicine clinicians or their practice settings were selected. The time frame was limited to the last 15 years to enhance relevance to current practice. Relevant descriptions or studies were reviewed, and abstracted data were parsed by setting, clinician type, location, social media events, impact, outcomes, and responses (agency, facility, health system, individual). HV is globally prevalent, especially in complex care environments, and correlates with a variety of factors including ICU stay duration, conflict, and has recently expanded to out-of-hospital occurrences; online violence as well as stalking is increasingly prevalent. An overlap with violent extremism and terrorism that impacts healthcare facilities and clinicians is similarly relevant. A number of approaches can reduce HV occurrence including, most notably, conflict management training, communication initiatives, and visitor flow and access management practices. Rescue training for HV occurrences seems prudent. HV is a global problem that impacts clinicians and imperils patient care. Specific initiatives to reduce HV drivers include individual training and system-wide adaptations. Future methods to identify potential perpetrators may leverage machine learning/augmented intelligence approaches. |
| Author | Duffy, Caoimhe C Chang, Cherylee W J Gandra-d'Almeida, Antonio J Winkle, Julie M Hidalgo, Jorge Bass, Gary A Akuamoah-Boateng, Kwame Einav, Sharon Rodriquez-Vega, Gloria M Cecconi, Maurizio Barletta, Jeffrey F Kaplan, Lewis J Kudchadkar, Sapna R |
| Author_xml | – sequence: 1 givenname: Gary A surname: Bass fullname: Bass, Gary A organization: Division of Trauma, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA – sequence: 2 givenname: Cherylee W J surname: Chang fullname: Chang, Cherylee W J organization: Department of Neurology, Duke University, Durham, NC – sequence: 3 givenname: Julie M surname: Winkle fullname: Winkle, Julie M organization: Emergency Medicine, UC Health, University of Colorado Hospital, Aurora, CO – sequence: 4 givenname: Maurizio surname: Cecconi fullname: Cecconi, Maurizio organization: Department of Biomedical Sciences, Humanitas University, Milan, Italy – sequence: 5 givenname: Sapna R surname: Kudchadkar fullname: Kudchadkar, Sapna R organization: Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Medicine, Baltimore, MD – sequence: 6 givenname: Kwame surname: Akuamoah-Boateng fullname: Akuamoah-Boateng, Kwame organization: Department of Surgery Acute Care Surgical Services, Mary Baldwin University and Virginia Commonwealth University Health Richmond, Richmond, VA – sequence: 7 givenname: Sharon surname: Einav fullname: Einav, Sharon organization: General Intensive Care Unit of the Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University School of Medicine, Jerusalem, Israel – sequence: 8 givenname: Caoimhe C surname: Duffy fullname: Duffy, Caoimhe C organization: Department of Anesthesiology and Critical Care Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA – sequence: 9 givenname: Jorge surname: Hidalgo fullname: Hidalgo, Jorge organization: Division of Critical Care, Karl Heusner Memorial Hospital, Belize City, Belize – sequence: 10 givenname: Gloria M surname: Rodriquez-Vega fullname: Rodriquez-Vega, Gloria M organization: University of Puerto Rico, School of Medicine, Caguas, Puerto Rico – sequence: 11 givenname: Antonio J surname: Gandra-d'Almeida fullname: Gandra-d'Almeida, Antonio J organization: North Region of the National Institute of Medical Emergency; Porto, Portugal – sequence: 12 givenname: Jeffrey F surname: Barletta fullname: Barletta, Jeffrey F organization: Pharmacy Practice, Midwestern University, College of Pharmacy-Glendale Campus, Glendale, AZ – sequence: 13 givenname: Lewis J surname: Kaplan fullname: Kaplan, Lewis J organization: Division of Trauma, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA |
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| Snippet | To provide a narrative review of hospital violence (HV) and its impact on critical care clinicians.
Detailed search strategy using PubMed and OVID Medline for... To provide a narrative review of hospital violence (HV) and its impact on critical care clinicians.OBJECTIVESTo provide a narrative review of hospital violence... |
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| SubjectTerms | Critical Care - methods Humans Intensive Care Units Risk Factors Violence - prevention & control Workplace Violence - prevention & control Workplace Violence - statistics & numerical data |
| Title | In-Hospital Violence and Its Impact on Critical Care Practitioners |
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