Hospital employee assault rates before and after enactment of the california hospital safety and security act.
Ann Epidemiol
; 19(2): 125-33, 2009 Feb.
Article
em En
| MEDLINE
| ID: mdl-19185807
ABSTRACT
PURPOSE:
This study examines changes in violent event rates to hospital employees before and after enactment of the California Hospital Safety and Security Act in 1995.METHODS:
We compared pre- and post-initiative employee assault rates in California (n = 116) emergency departments and psychiatric units with those in New Jersey (n = 50), where statewide workplace violence initiatives do not exist. Poisson regression with generalized estimating equations was used to compare assault rates between a 3-year pre-enactment period (1993-1995) and a 6-year post-enactment period (1996-2001) using New Jersey hospitals as a temporal control.RESULTS:
Assault rates among emergency department employees decreased 48% in California post-enactment, compared with emergency department employee assault rates in New Jersey (rate ratio [RR] = 0.52, 95% confidence interval [CI] 0.31, 0.90). Emergency department employee assault rates decreased in smaller facilities (RR = 0.46, 95% CI 0.21, 0.96) and for-profit-controlled hospitals (RR = 0.39, 95% CI 0.19, 0.79) post-enactment. Among psychiatric units, for-profit-controlled hospitals (RR = 0.41, 95% CI 0.19, 0.85) and hospitals located in smaller communities (RR = 0.44, 95% CI 0.21, 0.92) experienced decreased assault rates post-enactment.CONCLUSION:
Policy may be an effective method to increase safety to health care workers.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Recursos Humanos em Hospital
/
Unidade Hospitalar de Psiquiatria
/
Segurança
/
Violência
/
Saúde Ocupacional
/
Serviço Hospitalar de Emergência
Aspecto:
Determinantes_sociais_saude
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Ann Epidemiol
Assunto da revista:
EPIDEMIOLOGIA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Estados Unidos