@article{ref1,
title="Implementation of an assault prevention quality improvement initiative in an urban emergency department",
journal="Journal of nursing care quality",
year="2023",
author="Mallett-Smith, Sheila and Jadalla, Ahlam and Hardan-Khalil, Kholoud and Sarff, Laura and Brady, Margaret",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Emergency department (ED) health care workers experience high rates of workplace violence (WPV). LOCAL PROBLEM: Patient-to-staff physical assaults at an urban, academic adult ED ranged between 1 and 5 per month, with a rate of 0.265 per 1000 patient visits. <br><br>METHODS: A quality improvement initiative, guided by the Social Ecological Model framework that contextualized WPV in the ED setting, informed the development of a Risk for Violence Screening Tool (RVST) to screen adult patients presenting to the ED. INTERVENTIONS: Plan-Do-Study-Act cycles were utilized to implement a violence prevention bundle that incorporated the RVST, an alert system, and focused assault reduction strategies. <br><br>RESULTS: Patient-to-staff physical assaults decreased to a rate of 0.146 per 1000 patient visits. <br><br>CONCLUSIONS: Risk for violence screening, an alert system, and assault prevention strategies provide opportunities for nurse leaders to promote ED workplace safety.<p /> <p>Language: en</p>",
language="en",
issn="1057-3631",
doi="10.1097/NCQ.0000000000000711",
url="http://dx.doi.org/10.1097/NCQ.0000000000000711"
}