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Preventing Patient-to-Worker Violence in Hospitals: Outcome of a Randomized Controlled Intervention
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine. 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 (English)In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 59, no 1, 18-27 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
2017. Vol. 59, no 1, 18-27 p.
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Public Health, Global Health, Social Medicine and Epidemiology
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URN: urn:nbn:se:uu:diva-315065DOI: 10.1097/JOM.0000000000000909ISI: 000391123100006PubMedID: 28045793OAI: oai:DiVA.org:uu-315065DiVA: diva2:1077789
Available from: 2017-03-01 Created: 2017-03-01 Last updated: 2017-11-29Bibliographically approved

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Arnetz, Judith E.

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