Violence Guideline Proposed Layout

Suggested Layout:

Following OHSA guidelines for preventing workplace violence against healthcare.. workers

Proposed title: Guidelines for the Prevention of Violence in Primary Healthcare

Acknowledgements

Introduction
Purpose and scope of document
Violence definition
Extent of the problem- international and local context
Risk factors for workplace violence in healthcare (primary care?) settings

Overview of guidelines
Strategies for preventing violence
(Medical Management of the acutely aggressive patient ect- other guidelines Safe working- transport, money, office layout, lighting)
Strategies for dealing with violence during and after and event
Recording incidents/ monitoring/ assessing violence prevention programmes
Violence Survey?

Violence prevention programmes
Management commitment and employee involvement- Worksite analysis- Hazard Prevention and control- Safety and Health Training- Record keeping and Programme Evaluation

Conclusions

Recommendations

Appendices

References
U.S. Department of Labor, Occupational Safety and Health Administration
Guidelines for Preventing Workplace Violence for Health Care &
Social Service Workers OSHA 3148-01R, 2004

UN ECLAC/CDCC Data Collection System for Domestic Violence 2002

ILO/ICN/WHO/PSI Workplace Violence in the Health Sector: Country Case Studies Research Instruments: Survey Questionnaire 2003

World Report on Violence, A comprehensive approach to preventing violence at work?? (full reference)

Naish J et, al Brief Encounters of aggression and violence in primary care: a team approach to coping strategies, Family Practice 2002

Bradford J, Violence in an Emergency Department: A survey of Healthcare Workers in the Accident and Emergency Department of the Queen Elizabeth Hospital, Barbados, DM thesis, UWI, 2003

NHS Zero Tolerance
Stopping the violence against NHS Staff- we don’t have to take this! http://www.nhs.uk/zerotolerance/intro.htm

Runyan C W, Zakocs R C, Zwerling C. Administrative and behavioral interventions for workplace violence prevention. American Journal of Preventive Medicine, 2000;18(4 Supplement):116-127.

Guidelines for the management of imminent violence
http://www.rcpsych.ac.uk/publications/guidelines/violence_full_h.htm
Clinical Resource and Audit Group, Scotland (CRAG) (1996) Good Practice Statement on the Prevention and Management of Aggression

Kerr, I.B. & Taylor, D. (1997) Disturbed or violent behaviour: principles of treatment. Journal of Psychopharmacology, 11, 271-277.
Royal College of Psychiatrists (1996) Assessment and Clinical Management of Risk of Harm to Other People.

Ministry of Health, New Zealand (1994) Guidelines for Reducing Violence in Mental Health Services

CURRENT INTELLIGENCE BULLETIN 57, Violence in the workplace, Risk Factors and Prevention Strategies, National Institute for Occupational Safety and Health, Division of Safety Research, July 1996
A full copy of the "ASSE 2004 Workplace Violence Survey & White Paper" which also includes a list of resources can be found on the ASSE web site by going to http://www.asse.org and to ASSE News. Or request a copy by contacting ASSE directly at customerservice@asse.org .

International Labour Office Code of practice on workplace violence in services sectors and measures to combat this phenomenon Meeting of Experts to Develop a Code of Practice on Violence and Stress at Work in Services: A Threat to Productivity and Decent Work (8-15 October 2003) Geneva (This document covers hazard identification, risk assessment, prevention and control, training, management and mitigation of the impact, and care and support for workers affected by on-the-job violence. It is intended as a reference tool to help the parties design workplace policies and plans of action as well as national laws, policies and programs.) http://www.ilo.org/public/english/dialogue/sector/techmeet/mevsws03/mevsws-cp.pdf

Additional Resources for developing programmes or accessing training / advice.

NHS zero tolerance zone
http://www.nhs.uk/zerotolerance/
This is the home page of the NHS Zero Tolerance campaign and includes the materials developed by the NHS Executive in collaboration with a series of partners, which aims to help health service managers work locally with organisations such as the police and the Crown Prosecution Service to prevent violence against staff. The NHS zero tolerance zone is a nationwide campaign to tackle violence against staff working in the NHS initiated by the Secretary of State for Health. There is information and advice on how to deal effectively with violent incidents, examples of good practice, preventing violence and how the criminal justice system deals with violent incidents.

A safer place to work : protecting NHS hospital and ambulance staff from violence and aggression (accessible at: http://www.nao.gov.uk/publications/nao_reports/02-03/0203527.pdf)
'A safer place to work : protecting NHS hospital and ambulance staff from violence and aggression' is published by the National Audit Office, (NAO) (March 2003). This report examines the extent and impact of violence and aggression within the NHS - "National Health Service
(NHS) staff have the right to expect a safe and secure workplace and NHS organisations have a legal and ethical duty to do their utmost to prevent staff from being assaulted or abused in the course of their work." The report is 54 pages long and is in PDF, requiring Adobe Acrobat software to view it.

American Medical Association: violence prevention
(Accessible at http://www.ama-assn.org/ama/pub/category/3242.html)
The American Medical Association (AMA) violence prevention Web site is "part of the growing violence-prevention movement that is coming together as a collective voice to take a firm stand against violence." This site provides information on the AMA's violence- related policies and reports, as well as its activities and projects. A listing of violence-related diagnostic and treatment guidelines published by the AMA is provided and there are links to other Web sites on violence prevention.

Royal College of Psychiatrists' clinical practice guidelines : management of imminent violence
A clinical practice guideline from the Royal College of Psychiatrists, on the management of imminent violence. The guidelines aim to support mental health services, and are based on a systematic review of the evidence. The guideline covers good practice in the clinical environment, anticipating and preventing violence, medication in the context of violence, and short term prediction of violence. Published on the web by the Centre for Evidence Based Mental Health, Oxford University Department of Psychiatry.

BMA : violence at work : the experience of UK doctors
http://www.bma.org.uk/ap.nsf/Content/violence
"This report "Violence at work: the experience of UK doctors" was produced by the Health Policy and Economic Research Unit of the British Medical Association (BMA) in October 2003. It presents the findings from a national survey of 3000 doctors on the incidence and impact of violence in the workplace. Its The aim of the study was to "explore the incidence of violence against doctors in an attempt to understand better the extent of such incidences and the impact such violence has on the lives of doctors." Recommendations for future practice cover reporting violent incidents and action, interventions, and training for all healthcare staff on methods of restraint, communication, managing aggression and personal safety. A summary of the report is available here, and the full-text document is in PDF, which requires Adobe Acrobat Reader. "

http://www.knowledge.com/Top/Society/Issues/Violence_and_Abuse/Workplace
http://www.workplaceviolence911.com/docs/20040623.htm
http://www.cdc.gov/niosh/conferences/work-violence/