1 2 3 4 Preventing and Managing Workplace Violence in Healthcare: Ontarios Violence Prevention Partnership Tina Dunlop, RN, MsN CUPE Injured Worker Advocacy and Health & Safety Conference
Ottawa, Ontario September 10, 2015 5 Who We Are E S TA B L I S H E D I N 200 NON-PROFIT 9 ASSOCIATION FUNDED PARTNER
OF THE Ministr y of Labour WE PROVIDE WE WORK WITH HEALTH MILLION WORKERS
OCCUPATIONA L 1.67+ 10,000+ ORGANIZATIONS ONTARIOS PUBLIC & BROADER PUBLIC SECTORS: & SAFETY Training Resource
s Consulting Education Healthcare Emergency Services Government First Nations Workplace Violence Physical force that causes or could cause physical injury; An attempt to exercise physical force that could cause
physical injury; A statement or behaviour that it is reasonable to interpret as a threat to exercise physical force that could cause physical injury to the worker. Violence in Healthcare Healthcare Sector, Lost Time Injuries by Type, 2013 PSHSA Injury Type Machinery; 63; 0.95% Transportation; 20; 0.30% (LT) Injury
Claims Total MSD Other 1594 Falls 1208 MSD Client Handling 1135 Exposures
Contact with/Struck by 932 Workplace Violence 639 Not Classified 221 MVI
155 670 Machinery 63 Transportation 20 Fires and Explosions Grand Total
CultureResponse 13 Prevention Strategies undertaken prior an incident to deter onset of workplace violence Important steps include: Recognizing risks Analyzing precautions and prioritizing risks Controlling and communicating risk Evaluating and refining the action plan 14
Protection Strategies undertaken during an incident to manage workplace violence and extent of harm Activities include: Early identification of violent/responsive behaviour De-escalation and diffusion techniques Use of coded requests for help Mobilization of resources and security measures Keeping safety a priority 15 Post-Incident Response Strategies undertaken after an incident has occurred reduce long-term negative effects
Suggested responses include: Assistance and support for victims Information sharing and team debriefing Reporting and recording procedures Incident investigations to prevent recurrence 16 Project Phases Phase 1: Discovery Literature Review Jurisdictional Scan Focus Group
Phase 2: Design Phase 3: Delivery Confirm Priority Areas Design Toolkit Marketing Strategy Research & Evaluation Plan Toolkit Pilot Implementation
Knowledge Translation Education Steering Committee Leadership Working Group Expertise 17 Phase 1 Discovery 18 Phase 1 Discovery Approach
Literature Review Reviewed 35 intervention studies (MEDLINE & Oud Proceedings 2012) Studies were organized by category of intervention (Merchant & Lundell, 2011). Environmental Organizational and Administrative Behavioural/interpersonal Lighting entrances and exits using security hardware and other engineering controls. Developing programs, policies, and work
practices to promote a safe working environment. Training staff to anticipate, recognize, and respond to conflict and actual violence in the workplace. n = 15 n = 17 n=3 (includes interventions in another category)
Jurisdictional Scan Focus Groups 19 Marketing Campaign Increase awareness about health and safety issues in Ontario among healthcare workers Educate people about PSHSA risk preventive services and measures STRATEGY Digital Campaign Type Targeting Demographics Metrics
Point of Interest / Mobile: LinkedIn Healthcare workers Families of clients Hospitals Medical buildings
Doctors offices Health care facilities Treatment and Rehabilitation facilities Related Points of Interest Health Care Industry Executives Mid-level management Supervisors Medical specialists 492,400 Impressions
Priority Areas 1. 2. 3. 4. 5. Organizational Risk Assessment Individual Client Risk Assessment Flagging Security Personal Safety Response System 22
Organizational Risk Assessment Pre-assessment checklist Organizational workplace violence risk assessment tool Acute care Long-term care Multidisciplinary team At least once a year; more frequently when theres changes 23
Individual Client Risk Assessment Violence assessment tool Recommended controls Sample policy Acute care Long-term care Emergency services Community care Healthcare provider or manager/supervisor
First contact and according to organizations policies and procedures 24 Flagging Handbook Sample policy Privacy fast fact Acute care All staff Potential for violence 25
Security 9 tools Acute care Long-term care Community care Security personnel Those responsible for security Once a year; more frequently when circumstances change 26 Personal Safety Response System
Decision guide Device list Policy template Training guidelines Action plan template Acute care
Long-term care Community care Multidisciplinary team Once a year; more frequently when circumstances change 27 Phase 3 Delivery
28 Research and Evaluation 29 Next Steps Toolkit revisions Toolkit ready for full implementation and posting on
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