TY  - JOUR
PY  - 2024//
TI  - Hazard flagging as a risk mitigation strategy for violence against emergency medical services
JO  - Healthcare (Basel, Switzerland)
A1  - Mausz, Justin
A1  - Piquette, Dan
A1  - Bradford, Robert
A1  - Johnston, Mandy
A1  - Batt, Alan M.
A1  - Donnelly, Elizabeth A.
SP  - 
EP  - 
VL  - 12
IS  - 9
N2  - Paramedics are increasingly being subjected to violence, creating the potential for significant physical and psychological harm. Where a patient has a history of violent behavior, hazard flags-applied either to the individual, their residential address, or phone number-can alert paramedics to the possibility of violence, potentially reducing the risk of injury. Leveraging a novel violence reporting process embedded in the electronic patient care record, we reviewed violence reports filed over a thirteen-month period since its inception in February 2021 to assess the effectiveness of hazard flagging as a potential risk mitigation strategy. Upon reviewing a report, paramedic supervisors can generate a hazard flag if recurrent violent behavior from the patient is anticipated. In all, 502 violence reports were filed, for which paramedic supervisors generated hazard flags in 20% of cases (n = 99). In general, cases were not flagged either because the incident occurred at a location not amenable to flagging or because the supervisors felt that a hazard flag was not warranted based on the details in the report. Hazard flagging was associated with an increased risk of violence during subsequent paramedic attendance (Odds Ratio [OR] 6.21, p < 0.001). Nevertheless, the process appears to reliably identify persons who may be violent towards paramedics.<p />  <p>Language: en</p>
LA  - en
SN  - 2227-9032
UR  - http://dx.doi.org/10.3390/healthcare12090909
ID  - ref1
ER  -