Health Care Staff–Reported Workplace Violence in Patient Safety Event Reports
Notice bibliographique
Résumé
Importance: Workplace violence (WPV) against health care staff is an important problem in the US and worldwide. Objective: To develop a WPV classification approach and investigate the characteristics of the WPV incidents committed against health care staff documented in patient safety event (PSE) reports. Design, Setting, and Participants: This cross-sectional study analyzed 975 self-reported PSEs recorded by health care staff from March 1 to September 20, 2023, from a multihospital health care system in the mid-Atlantic region of the US. Main Outcomes and Measures: A subset of PSE reports that potentially pertained to WPV incidents were identified through structured information of the reports. When available, the following information was captured from each report: type of WPV incident and harm, reported perpetrators and those exposed to WPV, precipitating factors to the WPV incident, reporter's job function, whether security officers or law enforcement were contacted, and facility type. Results: A total of 15 426 PSEs were recorded. Of those, 975 reports (6.3%) were selected; for 300 (30.8%) of these reports, the free-text description of incidents was reviewed by 2 independent investigators, interrater reliability (IRR) was calculated, and the WPV classification was developed. Two investigators then independently classified the remaining 675 reports. A median IRR of 84% (IQR, 68%-99%) was achieved. Eight hundred thirty-one reports (85.2%) were related to WPV and 144 (14.8%) did not contain WPV narratives. The 831 WPV reports were further analyzed, and additional information about the WPV incidents were identified: patient- or visitor-on-staff violence (673 [76.7%]), verbal harm (331 [39.8%]), patients as perpetrators (581 [69.9%]), nurses exposed to WPV (277 [33.3%]), agitation (193 [23.2%]) and aggression (179 [21.5%]) as the leading precipitating factors, nurses reporting incidents (533 [64.1%]), contact of security officers (391 [47.1%]) and law enforcement (70 [8.4%]), and incidents occurring in hospitals (767 [92.3%]). Conclusions and Relevance: In this cross-sectional study of 15 426 PSE reports, 831 WPV incidents were identified, most involving patient- or visitor-on-staff verbal harm, with nurses frequently exposed. Agitation and aggression were the leading precipitating factors. The insights from PSE reports can inform the development of targeted WPV intervention and prevention plans, ultimately enhancing the safety of frontline staff.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».