Workplace Violence: Protecting Health Care Workers - PSAW Virtual Learning Hour 3/16/2021
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Workplace Violence: Protecting Health Care Workers PSAW Virtual Learning Hour 3/16/2021
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Continuing Education Credits This educational activity offers 1.00 contact hours for the following: Physicians and Nurses In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. This continuing education activity carries 1 Contact Hour for nurses and physicians. The Institute for Healthcare Improvements designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Certified Professional in Patient Safety Recertification A total of 1.00 contact hours is available toward the fulfillment of the requirements of CPPS (Certified Professional in Patient Safety) recertification. Healthcare Executive This program has been approved for 1 hour of education credit toward advancement or recertification by the American College of Healthcare Executives. You will be able to claim credits on the educational platform after the event and must be completed within 30 days. Instructions will be shared via email.
Disclosure Acknowledgement of Commercial Support No commercial support was received for this activity. Faculty & Staff Disclosure Mary Beth Kingston, PhD, RN, NEA-BC, FAAN has declared no relevant financial relationships. Stephen Muething, MD has declared no relevant financial relationships. Amar Shah, MD has declared no relevant financial relationships. Jeffrey Brady, MD, MPH has declared no relevant financial relationships. Patricia McGaffigan, RN, MS, CPPS has declared no relevant financial relationships. Sara Kramer has declared no relevant financial relationships.
Criteria for Completion • Register for the event • Login to the event • Attend 100% of the event • Complete the online evaluation survey
Learning Objectives • Identify risk factors that are associated with workplace violence • Describe successful practices and interventions for addressing workplace violence • Consider resources that may be integrated into your organization’s workplace violence prevention program
Faculty Bio
Patricia A. McGaffigan, RN, MS, CPPS, Vice President, Safety Programs, Institute
for Healthcare Improvement (IHI), previously served as COO and Senior VP of
Programs at the National Patient Safety Foundation until 2017, when the Foundation
merged with IHI. Her prior experience includes clinical practice, academia, and
leadership roles in education and marketing positions for several start-up and
established medical device companies focused on improving patient safety. Ms.
McGaffigan is a Certified Professional in Patient Safety, a graduate of the AHA-
NPSF Patient Safety Leadership Fellowship Program, and a member of the
American Society for Professionals in Patient Safety. She was awarded the
distinguished Lifetime Member Award from the American Association of Critical Care
Nurses. She serves on a wide range of national committees related to safety and is
a Board of Director for Medically Induced Trauma Support Services. She received
her BS with a major in Nursing from Boston College, and her MS with a major in
Nursing from Boston University.
Faculty Bio
Jeffrey Brady, MD, MPH, has served as the Director of AHRQ’s Center for Quality
Improvement and Patient Safety since 2014. He is as a member of the AHRQ Senior
Leadership Team and manages a part of the Agency that conducts several AHRQ
programs. Dr. Brady led the AHRQ Patient Safety Research Program from 2009 to 2014,
and in a prior position, he led the team that produces the National Healthcare Quality
and Disparities Report, an annual report to Congress on the status of health care quality
in the United States. Before moving to AHRQ in 2006, Dr. Brady served as a medical
officer for the Food and Drug Administration’s Office of Vaccines. Additionally, he has
held positions as a medical epidemiologist for the Department of Defense and primary
care physician aboard the U.S.S. Coronado while serving in the U.S. Navy. Rear Admiral
Brady retired from active duty in the Commissioned Corps of the U.S. Public Health
Service in 2019. He attended the Medical College of Georgia, completed internship
training in Internal Medicine at the Naval Medical Center, San Diego, California, and
earned a Master’s degree in public health from the Uniformed Services University of the
Health Sciences (USUHS) in Bethesda, Maryland. Dr. Brady completed the Navy’s
General Preventive Medicine Residency, also at USUHS, and is board-certified in Public
Health and General Preventive Medicine.
Faculty Bio
Amar Shah, MD is Consultant forensic psychiatrist & Chief Quality Officer at East
London NHS Foundation Trust (ELFT). He leads at executive and Board level at
ELFT on quality, performance, strategy, planning and business intelligence. He is
the national improvement lead for mental health at the Royal College of
Psychiatrists, leading a number of large-scale improvement collaboratives on the
topics of suicide prevention, restrictive practice and sexual safety. Amar is also
chair of the quality improvement faculty at the Royal College of Psychiatrists.
Amar is an improvement advisor and faculty member for the Institute for
Healthcare Improvement, teaching and guiding improvers and healthcare systems
across the world. He is honorary visiting professor at the University of Leicester.
Amar has completed an executive MBA in healthcare management, a masters in
mental health law and a postgraduate certificate in medical education. Amar is a
regular national and international keynote speaker at healthcare improvement
conferences and has published over 40 peer-review articles in the field of quality
management.
Faculty Bio
Stephen E. Muething, MD is the Chief Quality Officer and the Co-Director of the
James M. Anderson Center for Health Systems Excellence at Cincinnati Children’s
Hospital Medical Center and Professor of Pediatrics at The University of Cincinnati
College of Medicine. Dr. Muething was awarded the Michael and Suzette Fisher Family
Chair for Safety at Cincinnati Children’s Hospital Medical Center. He focuses on the
strategic goals of Cincinnati Children’s to improve all aspects of care including safety,
outcomes, experience, affordability, and population health. Dr Muething serves as a
lead faculty and mentor in the quality improvement development program at the
Anderson Center. His research and national impact focuses on high reliability, large
scale healthcare safety, lean culture transformation and development of learning
networks nationally. He has taught all over the United States and more than a dozen
countries. He has led or served on multiple national initiatives including the National
Steering Committee for Healthcare Safety. Dr Muething was one of the founders of the
Children’s Hospital Solution for Patient Safety (SPS) and now serves as the Strategic
Advisor. This network of more than 140 children’s hospitals across the United States
and Canada is collaborating to eliminate all harm for both patients and staff.Faculty Bio
Mary Beth Kingston, PhD, RN, NEA-BC, FAAN has been in the role of Chief
Nursing Officer for Advocate Aurora Health since April, 2018 following the
merger of Advocate Health and Aurora Health Care where she serves as a
member of the executive leadership team and is responsible for nursing
practice and standards, as well as patient experience. She joined Aurora
Health Care in 2012. An area of focus in her work is on creating healthy and
safe work environments. Mary Beth co-led the workforce safety sub-committee
of the IHI National Steering Committee on Patient Safety. Mary Beth is
currently serving on the board of the Milwaukee Urban League in Milwaukee
and was recently elected to the American Hospital Association board of
trustees (2021-2023). She served on the board of the American Organization
of Nurse Executives from 2014-2016 and was President in 2019. She is a
2020 recipient of the American Assembly for Men in Nursing’s Inclusion and
Diversity Award (IDEA), a Robert Wood Johnson Executive Nurse Fellow from
2009-2012 and a 2007 recipient of the Pennsylvania Nightingale Award for
Nursing Administration. Mary Beth was inducted as a fellow in the American
Academy of Nursing in 2020.Welcome…
@TheIHI; #PSAW2112
Workplace Violence
• Incidents where workers are abused,
threatened, or assaulted in circumstances
related to their work, involving an explicit or
implicit challenge to their safety, well-being, or
health.1
• An action (verbal, written, or physical) intended
to cause or causing death or serious bodily
injury to oneself or others, or damage to
property. Includes abusive behavior toward
authority, intimidating or harassing behavior, and 1. who.int/violence_injury_prevention/violence/activities/workplace/en/.
threats.2 2. https://www.dol.gov/agencies/oasam/centers-offices/human-resources-
center/policies/workplace-violence-program/appendicesSafer Together: A National Action Plan to
Advance Patient Safety
• Illuminates the collective insights of 27 organizations that
make up the National Steering Committee for Patient
Safety, who are united in their efforts to achieve truly safer
care and reduce harm to patients and those who care for
them
• Provides clear direction for making significant advances
toward safer care and reduced harm across the continuum
of care across four foundational areas:
• Culture, Leadership, Governance
• Patient and Family Engagement
• Learning Systems
www.ihi.org/SafetyActionPlan • Workforce Safety 14Reducing physical violence at
East London NHS Foundation Trust
Dr Amar Shah
Chief Quality Officer
@DrAmarShahMental health services Community health services
Newham, Tower Hamlets, City & Hackney, Luton & Bedfordshire Newham, Tower Hamlets &
Bedfordshire
Forensic services
All above & Waltham Forest, Redbridge, Barking, Dagenham, IAPT
Havering Newham, Tower Hamlets,
Richmond and Bedfordshire
Child & Adolescent services, including tier 4 inpatient
service Primary Care
Regional Mother & Baby unit 16Violence levels over the last few years…
Number of patient on staff Violent Incidents reported in the NHS
80000
70000
60000
Number of incidents
50000
40000
30000
20000
10000
0
2004-2005 2005-2006 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014
Three times as many violent incidents occur in mental health
services than other NHS services
17Local Context
18Impact… Physical injury
Dread of work Psychological: Service users
Stress, Fear, Trauma feeling threatened
and fearful
Staff
sickness
Ward team Experience often
depleted resonates with
histories of abuse
Negative feelings
amongst team Changes service users
behaviour (e.g.
staying in rooms
Morale drops
Staff leave Staff desensitized Impedes recovery
Bank staff won’t take
shifts on ward… Service users spend longer on ward 19Literature search
presented to team as
part of developing
theory of change
To reduce
physical
violence by
30% by
Dec 2013
One of our first ever QI projects at
East London NHS FT, starting in
2012…
With no real support structure, and
before we knew what we were doing!Time between events / days
100
120
140
0
20
40
60
80
04-Jan-12
20-Feb-12
07-Mar-12 No. of Incidents
0
1
2
3
4
5
6
7
8
29-Mar-12
5.26
Jan-12
31-Mar-12
Feb-12
19-Apr-12 Mar-12
09-May-12 Apr-12
4.00
May-12
07-Jun-12 Jun-12
22-Jun-12 Jul-12
Aug-12
29-Jul-12 No. of Incidents Sep-12
28-Aug-12 Oct-12
Nov-12
10
15
20
25
30
35
40
45
0
5
14-Sep-12 Dec-12
21-Sep-12 Jan-13
Feb-13
25-Oct-12 Mar-13
41
09-Jan-13 Apr-13
2012
May-13
05-May-13 Jun-13
02-Jul-13 Jul-13
Aug-13
10-Oct-13 Sep-13
10-Jan-14 Oct-13
13
Nov-13
2013
11-Jan-14 Dec-13
12.33
26-Feb-14 Jan-14
Feb-14
02-Jun-14
12 Jul 16
Mar-14
last incident
18 days since
26-Jun-14 Apr-14
May-14
17
22-Dec-14
2014
Jun-14
20-Mar-15 Jul-14
Aug-14
26-Aug-15
Sep-14
47.73
02-Mar-16 Oct-14
Nov-14
Days between incidents of physical violence (Globe ward) - T Chart
12-Jul-16
6
Dec-14
2015
Jan-15
Feb-15
Mar-15
Apr-15
May-15
Jun-15
4
Jul-15
Aug-15
2016 (so far)
Incidents resulting in physical violence in Globe ward
Sep-15
Oct-15
Nov-15
Dec-15
0.50
Jan-16
Feb-16
Mar-16
Apr-16
May-16
Jun-16
Incidents resulting in physical violence (Globe ward) - Run Chart22
Bow Ward
Westferry Broadgate
Ward Ward
Ruth
Seifert
Ward
Shoreditch
Ward Forensics Clerkenwell
Ward
Conolly Brett
Ward Ward
City &
Ludgate Clissold
Ward Ward
Mother
and Baby
Hackney Joshua East India
Ward Ash Ward
Unit Ward
Jade Willow
Ward Ward
Bevan Gardner
PICU Ward
Luton &
Topaz
Ward Bedford-
Brick Lane Crystal Opal
Crystal
Ward
shire Townsend
Court
Ward PICU Ward
Roman Mill
Ward harbour Coral Onyx
Newham Ward Ward
Tower Ruby
Triage
Emerald
Ward
Hamlets
Globe Rosebank
Ward Jade Sapphire
Ward Ward
Lea WardViolence reduction on acute wards and 16 Incidents resulting in physical violence (Acute wards only)
per 1000 occupied bed days (OBD) - U Chart
Psychiatric Intensive Care Units (PICUs) 14 UCL
No. of Incidents per 1000 OBD
12
10
8
6
4 5.78
2.47
2
0
Incidents resulting in physical violence (PICU wards only)
90 per 1000 occupied bed days (OBD) - U Chart
80
UCL
Tower Hamlets 70
No. of Incidents per 1000 OBD
60
50
Brick Lane
Ward 40
34.98
30
17.05
Roman Mill 20
Ward harbour
10
0
15-Sep-14
14-Sep-15
01-Feb-16
29-Feb-16
03-Feb-14
02-Feb-15
23-Jun-14
22-Jun-15
20-Jun-16
10-Nov-14
09-Nov-15
21-Jul-14
20-Jul-15
13-Oct-14
12-Oct-15
08-Dec-14
07-Dec-15
04-Jan-16
06-Jan-14
05-Jan-15
23-May-16
26-May-14
25-May-15
25-Apr-16
28-Apr-14
27-Apr-15
28-Mar-16
03-Mar-14
31-Mar-14
02-Mar-15
30-Mar-15
18-Aug-14
17-Aug-15
Globe Rosebank
Ward
Lea Ward
Globe
Ward
25Violence reduction on acute wards and
Psychiatric Intensive Care Units (PICUs)
Ruth
Seifert
Ward
Conolly Brett
Ward Ward
City &
Mother Hackney Joshua
and Baby
Unit Ward
Bevan Gardner
Brick Lane PICU Ward
Ward
Topaz
Roman Mill Ward
Ward harbour
Crystal Opal
Tower PICU Ward
Hamlets
Globe Rosebank Newham
Ward Ruby Emerald
Triage Ward
Globe Lea Ward
Ward
Jade Sapphire
Ward Ward
88% 57%
26Newham Violence Reduction Collaborative 28% reduction
City and Hackney Violence Reduction Collaborative
40% reduction
28No. of Incidents per 100,000 OBD No. of Incidents per 1,000 OBD
150
250
350
450
550
650
750
850
3
5
7
9
11
13
Jan-13
Feb-13
LCL
UCL
Mar-13
2013
Apr-13
May-13
9.778
Jun-13
Jul-13
Aug-13
Sep-13
2014
Oct-13
Nov-13
Dec-13
Jan-14
Feb-14
Mar-14
Apr-14
2015
May-14
Jun-14
Jul-14
Aug-14
Sep-14
5.832
Oct-14
2016
Nov-14
Dec-14
Jan-15
Feb-15
Mar-15
Apr-15
May-15
2017
Jun-15
Jul-15
Physical violence to patients (per 100,000
occupied bed days)
Aug-15
Sep-15
No. of Incidents per 100,000 OBD Oct-15
Nov-15
Dec-15
150
250
350
450
550
650
750
850
Jan-16
Feb-16
Mar-16
Apr-16
May-16
2013
Jun-16
Jul-16
Aug-16
Sep-16
Oct-16
Nov-16
2014
Dec-16
Jan-17
Feb-17
Mar-17
6.730
Apr-17
May-17
Jun-17
2015
Jul-17
Aug-17
Sep-17
Oct-17
Nov-17
Dec-17
2016
Jan-18
Feb-18
Mar-18
Apr-18
May-18
Jun-18
2017
Jul-18
Aug-18
Physical violence to staff (per 100,000
occupied bed days)
Incidents resulting in physical violence
(Trustwide) - U Chart
29Learning #1: Bring people together to share their experiences and start the conversation
Learning #2: Involve the whole community. Use creative techniques to enable people to express their feelings and hopes.
Learning #3: Find ways to keep it local and FUN!
Co-design the strategy…
Engagement of the system = joy in work!
33A structure for oversight and learning…
34OUTCOME MEASURES
No. of Incidents per 1000 OBD No. of Incidents per 1000 OBD
0
1
2
3
4
5
6
7
0
5
10
15
20
25
30
06-Jan-14
20-Jan-14 06-Jan-14
03-Feb-14 20-Jan-14
LCL
UCL
03-Feb-14
LCL
UCL
17-Feb-14
03-Mar-14 17-Feb-14
17-Mar-14 03-Mar-14
31-Mar-14 17-Mar-14
14-Apr-14 31-Mar-14
28-Apr-14 14-Apr-14
12-May-14 28-Apr-14
26-May-14 12-May-14
09-Jun-14 26-May-14
09-Jun-14
23-Jun-14
23-Jun-14
07-Jul-14
07-Jul-14
21-Jul-14
21-Jul-14
04-Aug-14 04-Aug-14
18-Aug-14 18-Aug-14
01-Sep-14 01-Sep-14
15-Sep-14 15-Sep-14
29-Sep-14 29-Sep-14
13-Oct-14 13-Oct-14
27-Oct-14 27-Oct-14
10-Nov-14 10-Nov-14
24-Nov-14 24-Nov-14
08-Dec-14 08-Dec-14
22-Dec-14 22-Dec-14
05-Jan-15 05-Jan-15
19-Jan-15 19-Jan-15
02-Feb-15 02-Feb-15
16-Feb-15 16-Feb-15
02-Mar-15 02-Mar-15
16-Mar-15 16-Mar-15
30-Mar-15 30-Mar-15
13-Apr-15 13-Apr-15
27-Apr-15 27-Apr-15
11-May-15 11-May-15
25-May-15 25-May-15
08-Jun-15 08-Jun-15
22-Jun-15 22-Jun-15
06-Jul-15 06-Jul-15
per 1000 occupied bed days (OBD) - U Chart
per 1000 occupied bed days (OBD) - U Chart
Incidents resulting in staff injury
Incidents resulting in Physical Violence
20-Jul-15 20-Jul-15
Time between events / Time between ev ents / No. of Incidents per 1000 OBD No. of Incidents per 1000 OBD
days day s
0
5
10
15
20
100
0
20
40
60
80
A measurement system for learning…
100
150
0
0
20
40
60
50
06-Jan-14 06-Jan-14
10-Jan-14 05-Jan-14 20-Jan-14 20-Jan-14
03-Feb-14 03-Feb-14
LCL
LCL
UCL
UCL
21-Mar-14
13-Jan-14 17-Feb-14 17-Feb-14
27-Mar-14 03-Mar-14 03-Mar-14
29-Jan-14 17-Mar-14 17-Mar-14
22-Apr-14 31-Mar-14
29-Jan-14 31-Mar-14
26-Jun-14 14-Apr-14 14-Apr-14
12-Feb-14 28-Apr-14 28-Apr-14
20-Jul-14 12-May-14 12-May-14
07-Mar-14 26-May-14 26-May-14
06-Aug-14
30-Mar-14 09-Jun-14 09-Jun-14
25-Aug-14 23-Jun-14 23-Jun-14
29-Sep-14 05-Apr-14 07-Jul-14 07-Jul-14
21-Jul-14 21-Jul-14
Key
30-Oct-14 19-Apr-14 04-Aug-14 04-Aug-14
19-Apr-14 18-Aug-14 18-Aug-14
12-Nov-14
01-Sep-14 01-Sep-14
20-Nov-14 22-Apr-14 15-Sep-14 15-Sep-14
29-Sep-14 29-Sep-14
29-Nov-14 30-Apr-14 13-Oct-14 13-Oct-14
20-Dec-14 27-Oct-14 27-Oct-14
01-May-14
10-Nov-14 10-Nov-14
Trust-wide data
21-Dec-14 02-Jun-14 24-Nov-14 24-Nov-14
07-Jan-15 08-Dec-14 08-Dec-14
Tower Hamlets data
20-Jun-14 22-Dec-14 22-Dec-14
11-Jan-15 05-Jan-15 05-Jan-15
21-Jun-14 19-Jan-15
13-Jan-15 19-Jan-15
26-Jun-14 02-Feb-15 02-Feb-15
03-Feb-15 16-Feb-15 16-Feb-15
02-Jul-14 02-Mar-15 02-Mar-15
14-Feb-15 16-Mar-15 16-Mar-15
09-Aug-14 30-Mar-15 30-Mar-15
23-Feb-15
21-Nov-14 13-Apr-15 13-Apr-15
21-Mar-15 27-Apr-15 27-Apr-15
23-Mar-15 08-Mar-15 11-May-15 11-May-15
25-May-15 25-May-15
27-Mar-15 20-Apr-15 08-Jun-15 08-Jun-15
17-Jun-15 06-May-15 22-Jun-15 22-Jun-15
06-Jul-15 06-Jul-15
Individual ward data
Combined wards data
per 1000 occupied bed days (OBD) - U Chart
Incidents of Physical Violence (Acute wards only)
Incidents of Physical Violence (PICU's only)
20-Jul-15 20-Jul-15
per 1000 occupied bed days (OBD) - U Chart
16-May-15
Days between incidents resulting in staff injury (Acute wards only) - T Chart
29-Jul-15
Days between incidents resulting in staff injury (PICU's only) - T Chart
35Build local control systems to sustain the gains…
Everyone's Responsibilities
Visual management boards
Task Daily Weekly MonthlyAs required Tools required
Red/Orange/Green/Purple dots or pens
Put dots on the safety cross as an incident happen on the ward x Definition of incident types (colour dots)
Change the safety cross (frequency depends on type of safety Printed copies for daily or monthly safety crosses
cross used by the ward)
x x
Safety Huddle book
Call/Participate/record safety huddle at least twice a day x
Follow up on safety huddle plans/actions x
Active/Lead/Guide/participate in safety discussion in
community meetings
x Bring safety cross to meeting
Participate in patient led safety huddles x
Have access to LifeQI for violence reduction data x LifeQi log ins
Induct new starters x Welcome packs
Modern Matrons/Ward Managers
Allocate who will input LifeQi data x
Present and interpret data to MDT/community meetings x LifeQi log ins
Allocate time in away days to discuss performance (review),
compare to standards (reflect), and any actions required (react) x
to prevent detorioration Data
Service Users
Participate in Service User led safety huddle x
Induct new service users to the ward x Welcome pack
Ward, unit and Trustwide
huddles to review, reflect &
react
36Thank you!
@DrAmarShah
37Cincinnati Children’s and the Children’s Hospital Learning Network: Sharing Our Experience Stephen Muething, MD Chief Quality Officer Co-Director, James M. Anderson Center for Health Systems Excellence Professor of Pediatrics
39 39
Cincinnati Children’s Snapshot
Over 15,000 employees and 678 Beds
More than 20 sites of care, >120 mental health
beds
>1.2 million patient encounters
Patients from 50 states and nearly 70
countries, employees from >90 countries
>2600 students; >380 residents; >640 fellows
>1200 new employees every year
>100 continuous clinical trials
Vision:
To be the leader in improving child health
40 40
40Safer Together: Safety Culture Awareness
Training curriculum
• Head – I know when to speak up
focuses on the
• Heart – I feel safe to speak up
importance of
• Hands – I have the skills to
speaking up and
effectively speak up and listen up
listening up.
I know when to speak up.
SaferTogether
41 41Failure Mode Effects Analysis
• Situation awareness – prediction and preparation
• Care model design
• Catalyzing enhanced partnership with the community
4243
Solutions for Patient Safety
>140
Children’s
Hospitals
44 44Solutions for Patient Safety
OUR MISSION:
Working together
to eliminate serious
harm across all
children’s hospitals
All Teach, All Learn
45
45Senior Leadership Best Practices
• Making patient and workforce safety foundational
• Safety as an investment rather than a cost
• Transparent learning system
46Thank you
47Through the CNO Lens Mary Beth Kingston, PhD, RN, FAAN
Few Stats
• One in four nurses report being
assaulted
• Up to 80% of workplace violence
incidents affecting nurses go
unreported
• 13% of missed workdays can be
attributed to workplace violence
(ANA End Nurse Abuse, 2018)BUHD Behaviors
Bullying Harassment
Unreasonable behaviour that Unwanted conduct related to a relevant
creates risk to the physical or protected characteristic, which has the
mental health or safety of an purpose or effect of violating an
individual individual’s dignity or creating an
intimidating, hostile, degrading,
humiliating or offensive environment for
Discrimination that individual
Unjust or prejudicial treatment of
an individual with a particular
attribute or personal characteristic Undermining
which can be legally protected Behaviour that has undermined
professional confidence and/or self-
esteemImpact is Well Documented • Dependent on type of injury - may be minor, long-term, death • Lost individual productivity • Decreased wages • Career impact • Stress and psychological effects further impacting health – fear and anxiety in workplace • Increased organizational costs: turnover/worker’s comp
Systems Approach – Linked with Patient Safety
Requires organization commitment and infrastructure
• Only 50% of hospital and health system board respondents had knowledge of
risks to workforce safety and awareness of dashboards that measure harm to
team members
• Press Ganey Survey of CEOs and senior leaders, none listed workforce
safety in their proposed metrics to support safe, high quality care.
1 - NPSF Survey
2- Press Ganey SurveyImplementation Guide - NAP Every health care organization has a detailed violence prevention program: • Assessment • Risk mitigation/prevention (including training and proactive planning) • Defining behaviors and reporting • Monitoring, trending, action • Support
Advocate Aurora Health Journey • Organizing structure • Link with patient safety • Lessons learned • Progress to date
Questions?
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discussion questions
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recipient
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textIHI Patient Safety Congress May 11–13, 2021 ihi.org/Congress #IHICongress
Thank you!
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