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.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 58,465
- 试验地点
- 1
- 主要终点
- Proportion of patients (or their attendants) who committed a rudeness/incivility or aggression or violence against healthcare workers.
研究概览
简要总结
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
研究设计
- 研究类型
- Observational
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient admitted to the ophthalmologic emergency unit
- •No Exclusion Criteria
排除标准
- 未提供
结局指标
主要结局
Proportion of patients (or their attendants) who committed a rudeness/incivility or aggression or violence against healthcare workers.
时间窗: 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.
次要结局
- 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.)