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Staff Safety Alert Banner Program Against Workplace Violence at an Urban American Hospital.

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Title: Staff Safety Alert Banner Program Against Workplace Violence at an Urban American Hospital.
Authors: Li C; University of Maryland School of Medicine, Baltimore, MD, USA., Bentley S; University of Maryland Medical System, University of Maryland Medical Center, Baltimore, MD, USA., Gulati MS; MedStar Washington Hospital Center, Baltimore, MD, USA., Snedeker K; University of Maryland School of Medicine, Baltimore, MD, USA., Marks MR; University of Maryland Medical System, University of Maryland Medical Center, Baltimore, MD, USA.
Source: Workplace health & safety [Workplace Health Saf] 2025 Jan; Vol. 73 (1), pp. 38-46. Date of Electronic Publication: 2024 Oct 05.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Sage Country of Publication: United States NLM ID: 101575677 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2165-0969 (Electronic) Linking ISSN: 21650799 NLM ISO Abbreviation: Workplace Health Saf Subsets: MEDLINE
Imprint Name(s): Publication: Jan. 2015- : Thousand Oaks, CA : Sage
Original Publication: Thorofare, NJ : Slack, Inc.
MeSH Terms: Workplace Violence*/prevention & control , Hospitals, Urban*, COVID-19/prevention & control ; COVID-19/epidemiology ; Safety Management/methods ; Humans ; Maryland ; Occupational Health ; Pilot Projects ; Program Development
Abstract: Background: Workplace violence (WPV) in healthcare has become an issue worldwide, with increasing prevalence after the COVID-19 pandemic. Notably, WPV in any setting has individual and systemic repercussions. However, despite extensive literature reporting the prevalence of WPV in healthcare worldwide, effective, standardized prevention policies have not been established. We developed and piloted a WPV initiative at an urban hospital in the state of Maryland. Here, we aim to describe our program development methods and implementation.
Methods: The 6-month program utilized a reporting tool developed within patients' electronic medical records (EMRs) to request the display of a Staff Safety Alert (SSA) banner to alert healthcare professionals of patients who engaged in violent behavior and are at increased risk of subsequent behavior. This tool was piloted on 21 patient care units. A review committee either approved or denied case requests filed by frontline workers, with holistic consideration involving patient status, potential biases, and communication flaws.
Results: Twenty-one banner requests were filed during the course of the pilot. Of which, eight were approved, and 13 were denied. The multi-trauma intermediate care floor filed the most case requests for a safety banner.
Conclusions/application to Practice: Our pilot program offers a patient-centered intervention program where extensive personnel training and patient-focused considerations were applied prior to the approval or denial of a banner display. The SSA program was the initial step in institutionally combatting WPV in healthcare as staff are encouraged to officially document unsafe events followed by careful action in response.
Competing Interests: Conflict of InterestThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Contributed Indexing: Keywords: healthcare; intervention; patient safety; staff safety; workplace violence
Entry Date(s): Date Created: 20241005 Date Completed: 20241205 Latest Revision: 20250404
Update Code: 20260130
DOI: 10.1177/21650799241280667
PMID: 39367849
Database: MEDLINE
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  Data: Staff Safety Alert Banner Program Against Workplace Violence at an Urban American Hospital.
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  Data: <searchLink fieldCode="AU" term="%22Li+C%22">Li C</searchLink>; University of Maryland School of Medicine, Baltimore, MD, USA.<br /><searchLink fieldCode="AU" term="%22Bentley+S%22">Bentley S</searchLink>; University of Maryland Medical System, University of Maryland Medical Center, Baltimore, MD, USA.<br /><searchLink fieldCode="AU" term="%22Gulati+MS%22">Gulati MS</searchLink>; MedStar Washington Hospital Center, Baltimore, MD, USA.<br /><searchLink fieldCode="AU" term="%22Snedeker+K%22">Snedeker K</searchLink>; University of Maryland School of Medicine, Baltimore, MD, USA.<br /><searchLink fieldCode="AU" term="%22Marks+MR%22">Marks MR</searchLink>; University of Maryland Medical System, University of Maryland Medical Center, Baltimore, MD, USA.
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  Data: <searchLink fieldCode="JN" term="%22101575677%22">Workplace health & safety</searchLink> [Workplace Health Saf] 2025 Jan; Vol. 73 (1), pp. 38-46. <i>Date of Electronic Publication: </i>2024 Oct 05.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Sage%22">Sage </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>101575677 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>2165-0969 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2221650799%22">21650799 </searchLink><i>NLM ISO Abbreviation: </i>Workplace Health Saf <i>Subsets: </i>MEDLINE
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  Data: <i>Publication</i>: Jan. 2015- : Thousand Oaks, CA : Sage<br /><i>Original Publication</i>: Thorofare, NJ : Slack, Inc.
– Name: SubjectMESH
  Label: MeSH Terms
  Group: Su
  Data: <searchLink fieldCode="MM" term="%22Workplace+Violence%22">Workplace Violence*</searchLink>/<searchLink fieldCode="MM" term="%22Workplace+Violence+prevention+%26+control%22">prevention & control</searchLink> <br /><searchLink fieldCode="MM" term="%22Hospitals%2C+Urban%22">Hospitals, Urban*</searchLink><br /><searchLink fieldCode="MH" term="%22COVID-19%22">COVID-19</searchLink>/<searchLink fieldCode="MH" term="%22COVID-19+prevention+%26+control%22">prevention & control</searchLink> ; <searchLink fieldCode="MH" term="%22COVID-19%22">COVID-19</searchLink>/<searchLink fieldCode="MH" term="%22COVID-19+epidemiology%22">epidemiology</searchLink> ; <searchLink fieldCode="MH" term="%22Safety+Management%22">Safety Management</searchLink>/<searchLink fieldCode="MH" term="%22Safety+Management+methods%22">methods</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Maryland%22">Maryland</searchLink> ; <searchLink fieldCode="MH" term="%22Occupational+Health%22">Occupational Health</searchLink> ; <searchLink fieldCode="MH" term="%22Pilot+Projects%22">Pilot Projects</searchLink> ; <searchLink fieldCode="MH" term="%22Program+Development%22">Program Development</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Workplace violence (WPV) in healthcare has become an issue worldwide, with increasing prevalence after the COVID-19 pandemic. Notably, WPV in any setting has individual and systemic repercussions. However, despite extensive literature reporting the prevalence of WPV in healthcare worldwide, effective, standardized prevention policies have not been established. We developed and piloted a WPV initiative at an urban hospital in the state of Maryland. Here, we aim to describe our program development methods and implementation.<br />Methods: The 6-month program utilized a reporting tool developed within patients' electronic medical records (EMRs) to request the display of a Staff Safety Alert (SSA) banner to alert healthcare professionals of patients who engaged in violent behavior and are at increased risk of subsequent behavior. This tool was piloted on 21 patient care units. A review committee either approved or denied case requests filed by frontline workers, with holistic consideration involving patient status, potential biases, and communication flaws.<br />Results: Twenty-one banner requests were filed during the course of the pilot. Of which, eight were approved, and 13 were denied. The multi-trauma intermediate care floor filed the most case requests for a safety banner.<br />Conclusions/application to Practice: Our pilot program offers a patient-centered intervention program where extensive personnel training and patient-focused considerations were applied prior to the approval or denial of a banner display. The SSA program was the initial step in institutionally combatting WPV in healthcare as staff are encouraged to officially document unsafe events followed by careful action in response.
– Name: Abstract
  Label: Competing Interests
  Group: Ab
  Data: Conflict of InterestThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
– Name: SubjectMinor
  Label: Contributed Indexing
  Group:
  Data: <i>Keywords: </i>healthcare; intervention; patient safety; staff safety; workplace violence
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  Label: Entry Date(s)
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  Data: <i>Date Created: </i>20241005 <i>Date Completed: </i>20241205 <i>Latest Revision: </i>20250404
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  Data: 10.1177/21650799241280667
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  Data: 39367849
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=39367849
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        Value: 10.1177/21650799241280667
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        Text: English
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        StartPage: 38
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      – SubjectFull: COVID-19 prevention & control
        Type: general
      – SubjectFull: COVID-19 epidemiology
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      – SubjectFull: Program Development
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      – SubjectFull: Workplace Violence prevention & control
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      – SubjectFull: Hospitals, Urban
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      – TitleFull: Staff Safety Alert Banner Program Against Workplace Violence at an Urban American Hospital.
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              Text: 2025 Jan
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