Violence in the Accident and Emergency Department.

نویسندگان

  • S P Cembrowicz
  • J P Shepherd
چکیده

Crimes of violence are recorded increasingly frequently, including those involving health professionals. We reviewed records of violent incidents kept for a major Accident and Emergency Department over a ten-year period. Details were recorded in a Violent Incident Book by all grades of A/E staff, and separate records were kept by hospital security officers. A total of 407 incidents were recorded. Numbers, rank and sex of staff assaulted, types of assault, injuries received, weapons used and characteristics and disposal of perpetrators were recorded. Many were young males who had been drinking: others were regular attenders, of whom three subsequently died and one convicted of murder. Nurses and male doctors appeared to be at the greatest risk of assault and receptionists at the least risk. Recording of violent incidents and subsequent prosecution seemed inconsistent, and may have reflected the lack of a code of practice in this area. Suggestions are made about preventing, predicting and dealing with violence, and its aftermath, in the A and E department, including the use of security officers and closed circuit television, waiting room design, the recognition of body language and signs of alcohol or substance intoxication. The importance of staff support after an assault is emphasized, including immediate and long-term counselling, provision of legal advice, criminal or civil court action, victim support schemes and the workings of the Criminal Injuries Compensation Board. Free legal advice for staff assaulted at work should be included in the terms of service of NHS staff.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Workplace Violence: A Regional Survey in Iranian Hospitals’ Emergency Departments

Background and Objectives: Violence toward healthcare workers has emerged as an important health problem. This type of violence has the potential to severely influence healthcare workers, patients, and the community. This study aimed to explore the prevalence of violence in emergency departments, and to identify associated risk fac‌tors using a sample of emergency department healthcare workers ...

متن کامل

Assessment of Musculoskeletal Injuries from Domestic Violence in the Emergency Department

Domestic violence is one of the most common causes of nonfatal injury in women, with musculoskeletal injuries representing the second most prevalent manifestation of this form of violence. It is therefore of great importance that healthcare providers such as emergency department (ED) physicians and surgeons are able to recognize and assess these kinds of injuries. In this case report, a woman i...

متن کامل

Trends in community violence in England and Wales 1995-1998: an accident and emergency department perspective.

OBJECTIVES To identify overall, seasonal, sex and age specific national trends in community violence from an accident and emergency (A&E) department perspective. DESIGN AND SETTING Prospective collection of national violence data from a stratified random sample of 33 A&E departments in England and Wales. METHODS Data were analysed for the three years from May 1995 to April 1998. Time series...

متن کامل

Investigation of violence against emergency nurses in a referral university hospital in Southern Iran

Introduction: Today, the incidence of violence such as verbal violence physical violence, including battering, sexual harassment is defined conflicts, especially in work environments around the world. The aim of this study was to investigate violence against emergency department nurses of Shahid Mohammadi hospital in Bandar Abbas. Methods: This study was a cross - sectional descriptive study wh...

متن کامل

Frequency of the Type of Workplace Violence against Hamadan Medical Emergency Technicians and its Relationship with Individual and Occupational Variables, 2018

Objectives: Medical emergency technicians are more likely to be exposed to workplace violence because exposure to emergency situations  .  This study seems to be necessary because the physical and psychological effects of the violence  Therefore, the present study aimed to determine the frequency of type of workplace violence against medical emergency technicians Hamadan province and its relati...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Medicine, science, and the law

دوره 32 2  شماره 

صفحات  -

تاریخ انتشار 1978