Rudeness/Incivility, Aggression or Violence Against Healthcare Workers in an Ophthalmic Emergencies Unit. Clinical Trial
— PREVURGOOfficial title:
Impact of a Program to Prevent the Risk of Antisocial Behavior and Attacks of Patients or Attendant on Healthcare Workers in an Ophthalmic Emergency Unit.
At the hospital, the attacks against health professionals are becoming commonplace, making
working conditions difficult. The ophthalmological emergencies are a perfect testing ground
to evaluate the effectiveness of a series of original actions to prevent the occurrence of
violence against healthcare workers. The main objective is to measure the impact of an
integrated prevention of the occurrence of antisocial behavior or attacks against the
healthcare workers.
The prevention program combines five interventions (steps): 1) a computer sorting algorithm
and specific screens for calling patients in waiting rooms, 2) a clear signage to direct
patients between waiting rooms, treatment rooms and administrative et medical offices, 3)
Posts information on the activity of emergency services displayed on screens, in the waiting
rooms, 4) a mediator/go-between/conciliator, 5) and a dummy surveillance camera.
This is an interrupted time series study. All patients admitted to the ophthalmological
emergency unit of a university hospital located in Lyon, France, are included in the study,
from June 2013 to Sept 2015
| Status | Completed |
| Enrollment | 58465 |
| Est. completion date | September 2015 |
| Est. primary completion date | September 2015 |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | N/A and older |
| Eligibility |
Inclusion Criteria: - Patient admitted to the ophthalmologic emergency unit No Exclusion Criteria |
Time Perspective: Prospective
| Country | Name | City | State |
|---|---|---|---|
| France | Hospices Civils de Lyon - Hôpital Edouard Herriot | Lyon |
| Lead Sponsor | Collaborator |
|---|---|
| Hospices Civils de Lyon |
France,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Proportion of patients (or their attendants) who committed a rudeness/incivility or aggression or violence against healthcare workers. | When seeking to characterize the violent behavior, three levels of increasing aggressiveness are typically distinguished: a) incivility i.e. the lack of respect for others characterized by relatively mild acts, b) physical or verbal aggression (insults, threats, assault), and c) the violent act. | Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours. | No |
| Secondary | Occurrence of antisocial behavior or assaults against other patients or carers attending the ophthalmological emergencies. | Proportion of incivility or assaults against other patients or attendant present (number of incivility or assaults on the number of patients admitted to the emergency) | Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours. | No |
| Secondary | Waiting times for patients | Average waiting times for patients with ophthalmic emergencies before they were taken care of by a doctor. | Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours. | No |
| Secondary | Stress of healthcare personnel | Stress at work of health personnel engaged in an ophthalmic emergency unit measured by the Karasek questionnaire. 30 mn are necessary to complete the questionnaire. | 30 minutes | No |
| Secondary | Satisfaction of patients | Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours. | No |