MA Coalition For Prevention of Med Errors Terry Hudson-Jinks, Mike Crisp, Ryan Flaherty Building a Safe Environment for All

Workplace Violence WPV The National Institute for Occupational Safety and Health (NIOSH) defines workplace violence as: “violent acts (including physical assaults and threats of assaults) directed toward persons at work or on duty.” 2 Guidelines for Preventing Workplace Violence for Healthcare and Social Service WorkersGuidelines for Preventing Workplace Violence for Healthcare and Social Service Workers (EPUB * | MOBI * )). OSHA Publication (OSHA-3148), (2015). OSHA Publication (OSHA-3148), (2015).EPUBMOBI

WPV Facts:  Between 2011 and 2013, workplace assaults ranged from 23,540 and 25,630 annually,  70 to 74% of work place assaults are in healthcare and social service settings.  For healthcare workers, assaults comprise 10-11% of workplace injuries involving days away from work, as compared to 3% of injuries of all private sector employees.  Workplace violence in the medical occupations represented 10.2% of all workplace violence incidents.  Within healthcare, workplace violence is underreported— suggesting that the actual rates may be much higher. 3 Guidelines for Preventing Workplace Violence for Healthcare and Social Service WorkersGuidelines for Preventing Workplace Violence for Healthcare and Social Service Workers (EPUB * | MOBI * )). OSHA Publication (OSHA- 3148), (2015).EPUBMOBI

Work Place Safety = Safe Patient Care Patient Care can only be safe if the community of care providers feel they are within a safe environment 4

WPV Prevention Programs  Building Blocks  Management commitment and employee participation,  Worksite analysis,  Hazard prevention and control,  Safety and health training,  Recordkeeping an d program evaluation 5 Guidelines for Preventing Workplace Violence for Healthcare and Social Service WorkersGuidelines for Preventing Workplace Violence for Healthcare and Social Service Workers (EPUB * | MOBI * )). OSHA Publication (OSHA- 3148), (2015).EPUBMOBI

Mission Critical: Leadership Stand in Full Support of a Safe Environment  Management commitment and employee participation,  Worksite analysis,  Hazard prevention and control,  Safety and health training,  Recordkeeping an d program evaluation Effective management leadership begins by recognizing that workplace violence is a safety and health hazard. 6 Guidelines for Preventing Workplace Violence for Healthcare and Social Service WorkersGuidelines for Preventing Workplace Violence for Healthcare and Social Service Workers (EPUB * | MOBI * )). OSHA Publication (OSHA- 3148), (2015).EPUBMOBI

Work Place Violence Prevention Committee  Goal:  Create a culture where workplace violence is an open topic engaging the entire community. o Understand current risks o Understand current occurrences o Recommend strategies to decrease risks & occurrences o Provide support to staff to prevent o Provide support to staff to treat o Study literature and best practices o Open dialogue about fears o Innovate solutions  Multi Disciplinary, Multi Departmental, Team approach! 7

8  Work Place Safety Interventions:  Emergency Department o Security monitoring high risk patients via camera surveillance o Additional officer within the ED o Panic Buttons offered to all members of the team o Physical Assaults down and no elopements with new plan o Room redesign: Lighting, paint, beds, door closed  Assaulted Staff Action Program --ASAP o Interdepartmental/interdisciplinary Team ~ 20 RNs, MHW, CCTs, SW, Security Live for Pratt 2 and ED  Securing the perimeter o Weekend, access = Night time access o Biewend transition receptionist for security officer M-F o Visitor access management system pilot being drafted for ED  Additional public safety officer, Inpatient Psychiatry  Work Place Safety Interventions:  Emergency Department o Security monitoring high risk patients via camera surveillance o Additional officer within the ED o Panic Buttons offered to all members of the team o Physical Assaults down and no elopements with new plan o Room redesign: Lighting, paint, beds, door closed  Assaulted Staff Action Program --ASAP o Interdepartmental/interdisciplinary Team ~ 20 RNs, MHW, CCTs, SW, Security Live for Pratt 2 and ED  Securing the perimeter o Weekend, access = Night time access o Biewend transition receptionist for security officer M-F o Visitor access management system pilot being drafted for ED  Additional public safety officer, Inpatient Psychiatry

Next Steps  Workplace Violence Prevention: Town Hall  Focus on: Interventions to date Public Safety training and expertise Getting experts involved early and often Avoid waiting for crisis All eyes on safety 9

Critical Factors:  CEO Passion and Support by entire Senior Team  Full collaboration between all departments  Local China Town Support  Patient Family Advisory Council Support  Employee Engagement Council Support and full participation 10

Safety for All 11

Contact Information If you would like more information regarding this presentation, please reach out to Terry Hudson-Jinks at the below: 12

Team Work