1134 / Evaluation of violent behaviour and aggressiveness on health professionals

ITALY
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Assessment of risk and harm
Human factors There is no specified text here
Topic of the reported practice
Clinical risk management
Aim and the benefit of the Patient Safety Practice
 
Violence acts against health workers must be considered as signals of vulnerability and danger in the work environment, and they must therefore be addressed and resolved through adopting preventive measures and workers’ protection strategies. While violence against health workers is a well known phenomena, often it does not receive proper attention because of lack of expertise in managing it and because it is indifferently treated as “injury on the work place”.
The main objectives of this project are:
- monitor the number of acts of violence towards health workers from patients, relatives and others
- pilot system for violent acts through the Overt Aggression Scale
- define and implement safety measures (training course on "violence against health workers from patients or family members", where staff from the following departments has been attending: resuscitation department, Emergency department, hematology and oncology)
Description of the Patient Safety Practice
 
Our hospital developed a reporting pilot system for violence acts against health operators, in order to identify, quantify and analyze risky situations, and secondly, in order to adopt prevention and protection strategies. The form for reporting violence episodes, submitted to dedicated staff by health operators directly or indirectly victims of violent aggressions,adopts the OAS system (Overt Aggression Scale).
The dedicated staff analyzed all the reported episodes on the form based on the OAS (Overt Aggression Scale) methodology. After quality evaluation, training courses were run in order to implement operators’ competences in facing similar episodes.

Some results:
Analysis of re reports gives an overview of the environment in the departments considered at risk. Participation to training course has been high.
49% of the violent acts occurred in the emergency department and resuscitation department, 18.2% in psychiatry and 2.2% in hematology-oncology.
Victims are mainly women (74%) while the aggressor is mainly men (53.4%).
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Unit or ward level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
Yes
A measurement after full implementation of the reported practice was obtained
Yes
Evaluation of a "positive" effect of the reported practice on Patient Safety
The evaluation showed improvements in Patient Safety outcomes
Type of before-and after evaluation
Both/mixed (qualitative and quantitative)
Enclosure of a reference or attachment in case of published evaluation's results
There is no specified text here
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Health care context where the Patient Safety Practices was implemented
 
Hospital
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
Yes
Specification of implementation in another health care setting(s)
Mental health care
Successful implementation's level  of this Patient Safety Practice across settings
Yes, across multiple specialities within the same setting
Involved health care staff
 
Physicians
Health care assistants
Therapists
Clinical support
Technical support / technician
Administrative support (secretary, clerk, receptionist etc.)
Environmental support (Housekeeping)
Clinical manager
Quality manager
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
No
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
There is no specified text here
Point of time in which service user or their reprasentatives' involvement takes place
There is no specified text here
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
There is no specified text here
Short description of the service users' level of involvement
There is no specified text here
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
Yes
List of sources where public information is accessible
http://buonepratiche.agenas.it/questionnaire.aspx?id=5050
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
No
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
No
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
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List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
Motivated staff
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
Description of used incentives, if any.
There is no specified text here
Existence of support or approval by the clinical or hospital management or any other hihg level authority in the implementation process of this Patient Safety Practice
Yes
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
No
Total number of person days required to implement this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
There is no specified text here
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
There is no specified text here
Contact information
 
Name: Marzia Tomellini
Country: ITALY
Organisation: ISTITUTO NAZIONALE PER LA RICERCA SUL CANCRO
E-mail: marzia.tomellini@hsanmartino.it
Phone: There is no specified text here
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