Differences in Hospitals' Workplace Violence Incident Reporting Practices: A Mixed Methods Study.

IF 2.1 Q2 HEALTH POLICY & SERVICES
Policy, Politics, and Nursing Practice Pub Date : 2022-05-01 Epub Date: 2022-03-23 DOI:10.1177/15271544221088248
Rachel Odes, Susan Chapman, Sara Ackerman, Robert Harrison, OiSaeng Hong
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Abstract

Workplace violence (WV) is a significant and growing problem for health care workers. Increased recognition of the need for improved protections has led to policy initiatives at the state and federal levels, including national Joint Commission requirements that went into effect January 2022. California's WV prevention legislation was phased in during 2017-2018 and requires hospitals to use a new incident reporting system, the Workplace Violent Incident Reporting System (WVIRS) for Hospitals. We analyzed WVIRS data collected during the first three years of its implementation, July 1, 2017 - June 30, 2020. In addition, we collected qualitative data from six California hospitals/hospital systems during 2019-2020 to better understand reporting practices. Over the three-year period, the 413 hospitals using the WVIRS reported between zero and six incidents per staffed bed. Sixteen hospitals (3.9%) reported two or more incidents per staffed bed while the rest reported fewer than two incidents. Qualitative analysis identified that reporting procedures vary considerably among hospitals. Several organizations rely on workers to complete incident reports electronically while others assign managers or security personnel to data collection. Some hospitals appear to report only those incidents involving physical harm to the worker. Regulatory guidance for reporting practices and hospitals' commitment to thorough data collection may improve consistency. As hospitals throughout the U.S. consider practice changes to comply with new WV standards, those engaged in implementation efforts should look closely at reporting practices. Greater consistency in reporting across facilities can help to build evidence for best practices and lead to safety improvements.

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医院工作场所暴力事件报告做法的差异:混合方法研究。
工作场所暴力(WV)是医疗工作者面临的一个日益严重的问题。越来越多的人认识到需要改善保护措施,这导致了州和联邦层面的政策倡议,包括 2022 年 1 月生效的国家联合委员会要求。加利福尼亚州的 WV 预防立法在 2017-2018 年期间逐步实施,并要求医院使用新的事件报告系统,即医院工作场所暴力事件报告系统(WVIRS)。我们分析了 WVIRS 实施前三年(2017 年 7 月 1 日至 2020 年 6 月 30 日)收集的数据。此外,我们还收集了 2019-2020 年期间六家加州医院/医院系统的定性数据,以更好地了解报告实践。在这三年期间,使用 WVIRS 的 413 家医院报告了每张员工床位零至六起事件。16 家医院(3.9%)报告每张病床发生两起或更多事件,其余医院报告的事件少于两起。定性分析发现,各医院的报告程序差异很大。有几家医院依靠员工以电子方式完成事件报告,而其他医院则指派管理人员或安保人员负责数据收集。有些医院似乎只报告那些对工人造成人身伤害的事件。对报告实践的监管指导和医院对全面数据收集的承诺可能会提高一致性。当美国各地的医院考虑改变做法以符合新的威望标准时,那些参与实施工作的医院应该仔细研究报告做法。提高各机构报告的一致性有助于为最佳实践提供证据,从而提高安全性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Policy, Politics, and Nursing Practice
Policy, Politics, and Nursing Practice Nursing-Leadership and Management
CiteScore
3.30
自引率
5.60%
发文量
24
期刊介绍: Policy, Politics & Nursing Practice is a quarterly, peer-reviewed journal that explores the multiple relationships between nursing and health policy. It serves as a major source of data-based study, policy analysis and discussion on timely, relevant policy issues for nurses in a broad variety of roles and settings, and for others outside of nursing who are interested in nursing-related policy issues.
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