Hospital Violence Reduction Among High-Risk Patients

David Drummond, Landy Sparr, Geoffrey H. Gordon

Research output: Contribution to journalArticle

73 Citations (Scopus)

Abstract

We describe the success of one general hospital in reducing violent behavior among a group of repetitively disruptive patients. Following a pilot phase during which violent incidents at the medical center were characterized by location, type, and person responsible, a group of patients at high risk for repeated violence was identified (N = 48). Data were gathered for 1 year before and after the institution of a program designed to reduce violence, primarily in ambulatory care areas, among this group. Outcome assessment included comparison of the number of violent incidents and the number of visits to the medical center during the 12 months before and after the program was started. The number of incidents declined by 91.6%, and visits to the medical center for any reason decreased by 42.2%. The ratio of violent incidents to visits after the program was begun was less than one sixth the rate before the program. Components of the program are described, including staff resistance and management strategies.

Original languageEnglish (US)
Pages (from-to)2531-2534
Number of pages4
JournalJAMA - Journal of the American Medical Association
Volume261
Issue number17
DOIs
StatePublished - May 5 1989

Fingerprint

Violence
Ambulatory Care
General Hospitals
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Hospital Violence Reduction Among High-Risk Patients. / Drummond, David; Sparr, Landy; Gordon, Geoffrey H.

In: JAMA - Journal of the American Medical Association, Vol. 261, No. 17, 05.05.1989, p. 2531-2534.

Research output: Contribution to journalArticle

Drummond, David ; Sparr, Landy ; Gordon, Geoffrey H. / Hospital Violence Reduction Among High-Risk Patients. In: JAMA - Journal of the American Medical Association. 1989 ; Vol. 261, No. 17. pp. 2531-2534.
@article{c28bcbc0a6ac48da852e6a8ea183d90b,
title = "Hospital Violence Reduction Among High-Risk Patients",
abstract = "We describe the success of one general hospital in reducing violent behavior among a group of repetitively disruptive patients. Following a pilot phase during which violent incidents at the medical center were characterized by location, type, and person responsible, a group of patients at high risk for repeated violence was identified (N = 48). Data were gathered for 1 year before and after the institution of a program designed to reduce violence, primarily in ambulatory care areas, among this group. Outcome assessment included comparison of the number of violent incidents and the number of visits to the medical center during the 12 months before and after the program was started. The number of incidents declined by 91.6{\%}, and visits to the medical center for any reason decreased by 42.2{\%}. The ratio of violent incidents to visits after the program was begun was less than one sixth the rate before the program. Components of the program are described, including staff resistance and management strategies.",
author = "David Drummond and Landy Sparr and Gordon, {Geoffrey H.}",
year = "1989",
month = "5",
day = "5",
doi = "10.1001/jama.1989.03420170075033",
language = "English (US)",
volume = "261",
pages = "2531--2534",
journal = "JAMA - Journal of the American Medical Association",
issn = "0002-9955",
publisher = "American Medical Association",
number = "17",

}

TY - JOUR

T1 - Hospital Violence Reduction Among High-Risk Patients

AU - Drummond, David

AU - Sparr, Landy

AU - Gordon, Geoffrey H.

PY - 1989/5/5

Y1 - 1989/5/5

N2 - We describe the success of one general hospital in reducing violent behavior among a group of repetitively disruptive patients. Following a pilot phase during which violent incidents at the medical center were characterized by location, type, and person responsible, a group of patients at high risk for repeated violence was identified (N = 48). Data were gathered for 1 year before and after the institution of a program designed to reduce violence, primarily in ambulatory care areas, among this group. Outcome assessment included comparison of the number of violent incidents and the number of visits to the medical center during the 12 months before and after the program was started. The number of incidents declined by 91.6%, and visits to the medical center for any reason decreased by 42.2%. The ratio of violent incidents to visits after the program was begun was less than one sixth the rate before the program. Components of the program are described, including staff resistance and management strategies.

AB - We describe the success of one general hospital in reducing violent behavior among a group of repetitively disruptive patients. Following a pilot phase during which violent incidents at the medical center were characterized by location, type, and person responsible, a group of patients at high risk for repeated violence was identified (N = 48). Data were gathered for 1 year before and after the institution of a program designed to reduce violence, primarily in ambulatory care areas, among this group. Outcome assessment included comparison of the number of violent incidents and the number of visits to the medical center during the 12 months before and after the program was started. The number of incidents declined by 91.6%, and visits to the medical center for any reason decreased by 42.2%. The ratio of violent incidents to visits after the program was begun was less than one sixth the rate before the program. Components of the program are described, including staff resistance and management strategies.

UR - http://www.scopus.com/inward/record.url?scp=0024589927&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024589927&partnerID=8YFLogxK

U2 - 10.1001/jama.1989.03420170075033

DO - 10.1001/jama.1989.03420170075033

M3 - Article

C2 - 2704113

AN - SCOPUS:0024589927

VL - 261

SP - 2531

EP - 2534

JO - JAMA - Journal of the American Medical Association

JF - JAMA - Journal of the American Medical Association

SN - 0002-9955

IS - 17

ER -