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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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. 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

9. 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

10. 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

11. Safety for All 11

12. Contact Information If you would like more information regarding this presentation, please reach out to Terry Hudson-Jinks at the email below: Thudson-jinks@tuftsmedicalcenter.org 12

13. Team Work