@article{ref1,
title="A quality improvement approach to violence reduction: standardizing the risk identification process",
journal="Journal of nursing care quality",
year="2023",
author="DeSouza, Fabio and Bleich, Michael",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: The impact of aggressive and violent behaviors directed toward staff in psychiatric facilities has layers of implications tied to recruitment and retention, cost, quality and safety. LOCAL PROBLEM: Increased patient aggressive behaviors contributed to staff dissatisfaction and high turnover rates, triggering an analysis of current aggression management approaches. <br><br>METHODS: The Plan-Do-Study-Act quality improvement method was used for this project. INTERVENTIONS: The Dynamic Appraisal of Situational Aggression (DASA) risk assessment tool was implemented. <br><br>RESULTS: Daily aggression risk identification increased by 69%, and aggressive incidents toward staff and patients decreased by 64% and 28%, respectively, when the tool was completed more consistently. Surveys revealed acceptance of the tool by nurses. <br><br>CONCLUSIONS: Quality improvement statistical tools supported evidence-based strategies. A risk for aggression assessment laid the foundations for implementing strategies for reducing aggression and violence.<p /> <p>Language: en</p>",
language="en",
issn="1057-3631",
doi="10.1097/NCQ.0000000000000713",
url="http://dx.doi.org/10.1097/NCQ.0000000000000713"
}