W03 – Measuring, Understanding, Addressing and Ameliorating the Effects Leading to Workplace-Based Violence and Code Whites at University Health Network
Le jeudi 19 octobre
10:45 – 11:45 (1 hr)
Salle de réunion : Junior Ballroom D (3rd floor – North Tower)
Rickinder Sethi*, MD; Rickinder Sethi, ; Brendan Lyver, ; Christian Schulz-Quach, ; Trevor Hanagan,
Rôles CanMEDS :
- Leader
- Collaborateur
- Promoteur de la santé
À la conclusion de cette activité, les participants seront en mesure de : 1) Understand the impact of workplace violence in the health care setting; 2) Appreciate the Delphi method for developing and guiding clinical management for workplace violence (WPV); and 3) Appraise innovative strategies to manage WPV in the health care setting.
The University Health Network (UHN), among other health care providers (HCPs) across Ontario and internationally, is contending with the increasingly challenging patient and visitor behaviours in its emergency departments (EDs), including a growing prevalence of violence and abusive behaviours that together jeopardize the safety and morale of staff, physicians, patients, and visitors.
Workplace violence (WPV) in health care was already a problem, but since the pandemic, HCPs have reported an increase in WPV. The UHN has been no exception, as the rate of WPV during the pandemic has more than doubled the rate of WPV in the three months prior to the pandemic, rising from 1.13 incidents per 1,000 visits to 2.53 incidents per 1,000 visits. Underreporting of WPV incidences poses an ongoing barrier to quality improvement in health care. A survey of health care workers found that 57% of HCPs filed a formal report of WPV, despite 68% of HCPs experiencing physical violence and 83% of HCPs experiencing nonphysical violence within the year prior to the survey. UHN security and safety-related entities are in the process of revamping current policies and interventions to address WPV and code white incidences, such as enhanced security measures, innovative educational interventions for staff and clinicians, technological solutions, and implementation of a dyad leadership model for UHN security.
Références :
- Arnetz JE. The joint commission’s new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. Jt Comm J Qual Patient Saf 2022;48(4):241–245.
- Byon HD, Sagherian K, Kim Y, et al. Nurses’ experience with type II workplace violence and underreporting during the COVID-19 pandemic. Workplace Health Saf 2022;70(9):412–420.
