We describe the success of one general hospital in reducing violent behavior among a group of repetitively disruptive patients. Following a pilot phase during which violent incidents at the medical center were characterized by location, type, and person responsible, a group of patients at high risk for repeated violence was identified (N = 48). Data were gathered for 1 year before and after the institution of a program designed to reduce violence, primarily in ambulatory care areas, among this group. Outcome assessment included comparison of the number of violent incidents and the number of visits to the medical center during the 12 months before and after the program was started. The number of incidents declined by 91.6%, and visits to the medical center for any reason decreased by 42.2%. The ratio of violent incidents to visits after the program was begun was less than one sixth the rate before the program. Components of the program are described, including staff resistance and management strategies.
Drummond DJ, Sparr LF, Gordon GH. Hospital Violence Reduction Among High-Risk Patients. JAMA. 1989;261(17):2531–2534. doi:10.1001/jama.1989.03420170075033
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: