Impact of Patient-Engaged Video Surveillance on Nursing Workforce Safety - AvaSure

Impact of Patient-Engaged Video Surveillance on Nursing Workforce Safety

Workplace violence (WPV) across all industries, including health care, continues to increase in the United States. The National Institute for Occupational Safety and Health refers to WPV as violent acts, such as physical assaults, and threats, such as verbal abuse, directed toward people at work or on duty. Of great concern, health care workers are 4 times more likely to suffer violence than workers in other industries. The Joint Commission emphasizes the urgency of organizations to monitor and trend WPV because the prevalence is unknown…

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ABSTRACT

Background: Health care workers are 4 times more likely to suffer violence than workers in other industries.

Purpose: The aim was to examine types of patients’ verbal/physical abuse against the nursing workforce observed through patient-engaged video surveillance (PEVS) and interventions initiated by monitor technicians.

Methods: A descriptive study was conducted to analyze all types of patient-initiated abuse, physical and verbal, reported from 73 hospitals and patient response to PEVS.

Results: Of 150 434 patients whom RNs enrolled into 24-hour PEVS, 5034 patients (3%) were identified by RNs as at risk for aggressive/violent behavior as their primary or secondary reason for PEVS enrollment, and 32 (0.60%) patients exhibited such behavior. A total of 221 patients demonstrated aggressive/violent behaviors, 32 (15%) were identified as at risk, and 189 (85%) were not. However, 5002 (99%; 5002/5034) of the patients identified as a risk for aggressive/violent behaviors did not exhibit these behaviors.

Conclusions: Patient-engaged video surveillance is an effective method to track and trend patient aggression toward nursing staff, increasing patient and nursing workforce safety. Because 99% of the patients who exhibited aggressive/violent behavior were not identified by RNs as at risk, organizations should consider adding violence risk tools as part of patients’ admission assessment.

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