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Preventing Patient-to-Worker Violence in Hospitals: Outcome of a Randomized Controlled Intervention
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Allmänmedicin och preventivmedicin. Michigan State Univ, Dept Family Med, E Lansing, MI 48824 USA.; Wayne State Univ, Dept Family Med, Detroit, MI USA.;Wayne State Univ, Dept Publ Hlth Sci, Detroit, MI USA.;Wayne State Univ, Detroit, MI 48202 USA..
Wayne State Univ, Dept Family Med, Detroit, MI USA.;Wayne State Univ, Dept Publ Hlth Sci, Detroit, MI USA.;Wayne State Univ, Dept Psychol, 71 W Warren Ave, Detroit, MI 48202 USA.;Wayne State Univ, Detroit, MI 48202 USA..
Wayne State Univ, Occupat Hlth Serv, Detroit Med Ctr, Detroit, MI USA.;Wayne State Univ, Detroit, MI 48202 USA..
Wayne State Univ, Occupat Hlth Serv, Detroit Med Ctr, Detroit, MI USA.;Wayne State Univ, Dept Emergency Med, Detroit, MI USA.;Wayne State Univ, Detroit, MI 48202 USA..
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2017 (Engelska)Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 59, nr 1, s. 18-27Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: To evaluate the effects of a randomized controlled intervention on the incidence of patient-to-worker (Type II) violence and related injury in hospitals. Methods: Forty-one units across seven hospitals were randomized into intervention (n = 21) and control (n = 20) groups. Intervention units received unit-level violence data to facilitate development of an action plan for violence prevention; no data were presented to control units. Main outcomes were rates of violent events and injuries across study groups over time. Results: Six months post-intervention, incident rate ratios of violent events were significantly lower on intervention units compared with controls (incident rate ratio [IRR] 0.48, 95% confidence interval [CI] 0.29 to 0.80). At 24 months, the risk for violence-related injury was lower on intervention units, compared with controls (IRR 0.37, 95% CI 0.17 to 0.83). Conclusions: This data-driven, worksite-based intervention was effective in decreasing risks of patient-to-worker violence and related injury.

Ort, förlag, år, upplaga, sidor
2017. Vol. 59, nr 1, s. 18-27
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:uu:diva-315065DOI: 10.1097/JOM.0000000000000909ISI: 000391123100006PubMedID: 28045793OAI: oai:DiVA.org:uu-315065DiVA, id: diva2:1077789
Tillgänglig från: 2017-03-01 Skapad: 2017-03-01 Senast uppdaterad: 2017-11-29Bibliografiskt granskad

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Arnetz, Judith E.

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