Hospital workers bypass traditional occupational injury reporting systems when reporting patient and visitor perpetrated (type II) violence.


Journal Article

BACKGROUND: Under-reporting of type II (patient/visitor-on-worker) violence by workers has been attributed to a lack of essential event details needed to inform prevention strategies. METHODS: Mixed methods including surveys and focus groups were used to examine patterns of reporting type II violent events among ∼11,000 workers at six U.S. hospitals. RESULTS: Of the 2,098 workers who experienced a type II violent event, 75% indicated they reported. Reporting patterns were disparate including reports to managers, co-workers, security, and patients' medical records-with only 9% reporting into occupational injury/safety reporting systems. Workers were unclear about when and where to report, and relied on their own "threshold" of when to report based on event circumstances. CONCLUSIONS: Our findings contradict prior findings that workers significantly under-report violent events. Coordinated surveillance efforts across departments are needed to capture workers' reports, including the use of a designated violence reporting system that is supported by reporting policies. Am. J. Ind. Med. 59:853-865, 2016. © 2016 Wiley Periodicals, Inc.

Full Text

Duke Authors

Cited Authors

  • Pompeii, LA; Schoenfisch, A; Lipscomb, HJ; Dement, JM; Smith, CD; Conway, SH

Published Date

  • October 2016

Published In

Volume / Issue

  • 59 / 10

Start / End Page

  • 853 - 865

PubMed ID

  • 27409575

Pubmed Central ID

  • 27409575

Electronic International Standard Serial Number (EISSN)

  • 1097-0274

Digital Object Identifier (DOI)

  • 10.1002/ajim.22629


  • eng

Conference Location

  • United States