Impact of a Program to Prevent the Risk of Antisocial Behavior and Attacks of Patients or Attendant on Healthcare Workers in an Ophthalmic Emergency Unit.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Rudeness/Incivility, Aggression or Violence Against Healthcare Workers in an Ophthalmic Emergencies Unit.
- Sponsor
- Hospices Civils de Lyon
- Enrollment
- 58465
- Locations
- 1
- Primary Endpoint
- Proportion of patients (or their attendants) who committed a rudeness/incivility or aggression or violence against healthcare workers.
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
At the hospital, the attacks against health professionals are becoming commonplace, making working conditions difficult. The ophthalmological emergencies are a perfect testing ground to evaluate the effectiveness of a series of original actions to prevent the occurrence of violence against healthcare workers. The main objective is to measure the impact of an integrated prevention of the occurrence of antisocial behavior or attacks against the healthcare workers.
The prevention program combines five interventions (steps): 1) a computer sorting algorithm and specific screens for calling patients in waiting rooms, 2) a clear signage to direct patients between waiting rooms, treatment rooms and administrative et medical offices, 3) Posts information on the activity of emergency services displayed on screens, in the waiting rooms, 4) a mediator/go-between/conciliator, 5) and a dummy surveillance camera.
This is an interrupted time series study. All patients admitted to the ophthalmological emergency unit of a university hospital located in Lyon, France, are included in the study, from June 2013 to Sept 2015
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patient admitted to the ophthalmologic emergency unit
- •No Exclusion Criteria
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Proportion of patients (or their attendants) who committed a rudeness/incivility or aggression or violence against healthcare workers.
Time Frame: Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours.
When seeking to characterize the violent behavior, three levels of increasing aggressiveness are typically distinguished: a) incivility i.e. the lack of respect for others characterized by relatively mild acts, b) physical or verbal aggression (insults, threats, assault), and c) the violent act.
Secondary Outcomes
- Occurrence of antisocial behavior or assaults against other patients or carers attending the ophthalmological emergencies.(Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours.)
- Stress of healthcare personnel(30 minutes)
- Waiting times for patients(Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours.)
- Satisfaction of patients(Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours.)