Emergency Room Clinical Trial
Official title:
Evaluation of the Manifestation of Patient Aggresivity in an Emergency Department
The main objective of this study is to determine the average total number of violent events per observation period occurring in the emergency department at the Nîmes University Hospital. The list of violent events is pre-determined and based on a series of interviews with emergency department staff.
This observational study will take place via a representative sample of 90 observation
periods. One observation period consists of 7.5 consecutive hours between two team rotations
during the day and 10 consecutive hours at night. These observational periods include the
moment when health-care teams are debriefed during a shift-change, which we suspect to be a
sensitive time point.
Observation periods are randomly selected over a period of 1 year, and stratified for time
of day (morning, afternoon, evening), day of the week and month.
The secondary objectives of the observation phase are to identify factors associated with
the average number of violent events per work period (number of patients attending the
emergency department, time of staff debriefing during shift change, time of day, week or
weekend, individual patient characteristics (gender, age, patient or accompanying a patient,
waiting time from arrival in the emergency room to emergency consultation, reason for
consultation), characteristics of victims of violence, characteristics of the health care
team ...)
The anticipated total number of violent events is unknown at the beginning of the study; we
indicated '50' as a guess.
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Observational Model: Ecologic or Community, Time Perspective: Prospective
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