Health Care Workplace Violence Information & Resources

Resources & References

What's New

Louisville emergency department nurse shines light on nurses being attacked by patients

Reports reveal hundreds of instances of hospital staff being physically and verbally assaulted. From broken bones to concussions, being kicked, choked, sexually assaulted, stabbed with utensils and pregnant nurses being punched in the abdomen. Full story on

Oregon Hospitals and Health Systems Share their Health Care Workplace Safety Initiative

Several hospital associations have pointed out that the Oregon Association of Hospitals and Health Systems has created some outstanding "best practice" documents and information on Health Care Workplace Safety. We would like to share some of these materials for review and consideration developing local plans and programs.

The following link is to a PowerPoint presentation that summarizes some of the Lessons Learned coming from their Worker Safety Initiative. Their work started in 2014, and comes from a working group of their membership, their Oregon Nurses Association, and a related labor union. The presentation was made at their Governor's Occupational Safety and Health Conference.<

Learn More about the OAHHS Workplace Safety Initiative and their Workplace Violence Prevention Toolkit

The Oregon Association of Hospitals and Health Systems "Workplace Safety Initiative" is detailed on their OAHHS website ( It begins with a very detailed introductory section for their Workplace Violence Prevention Toolkit, which includes an extensive section with a wide variety of additional resources and materials for your review (see Section 10). The individual sections and related tools are then detailed out. It includes, as examples, a WPV Gap Analysis, a WPV Employee Survey, Safety and Security Checklist, a Communications Plan, a Risk Assessment Tool, and even a "Code Grey" (their standard overhead code for a WPV incident) Debrief Form. Additional tools include an Education and Training Plan, and some tools to help evaluate the program. They have also included two additional sections on Safe Patient Handling Tools and additional resources.

One of the potential starting places in their toolkit is a Suggested Sequence of Activities, contained in their "Tool ii".

FBI: Active Shooter Planning and Response in a Health Care Setting

The Active Shooter Planning and Response Guide takes an in-depth look at the 4-phases of emergency management; mitigation, preparedness response and recovery and offers step by step guidance to assist health care facilities in active shooter planning and response. Designed with input from industry experts and incorporating the latest recommendations and techniques used in active shooter planning and response, this guide is a must read for all health care facilities.

Mass Shootings—Largest Cause of Stress for American Adults According to American Psychological Association

The results of a 2019 survey conducted by the American Psychological Association (APA) found Mass Shootings to be the number one stressor for 71% of those surveyed. The results of this survey followed the Reuters/Ipsos Survey conducted in August 2019 that reported 50% of American adults consider Mass Shootings a latent threat. As described by one respondent, “This situation puts you on alert because you never know when or where the next massacre will happen.” Read the full report on the APA website.

Epidemic: 75% of Workplace Assaults Happen to Health Care Workers

Three-quarters of all workplace assaults happen to health care workers, according to the Occupational Safety and Health Administration. And right now, unlike other professions, there is no federal law requiring prevention, reporting or action if a health care worker is assaulted while on the job. Read the full Article on the ABC News website.

Ambulance workers four times more likely to get injured on the job

(EMR InfoGram) For every 100 paramedics and emergency medical technicians (EMTs) in the United States, between 8 and 9 experience an occupational injury requiring treatment in a hospital. While 8-9 percent may seem like a small amount, it is more than 4 times the rate for workers in any other profession in the United States. These numbers are based on data from the National Institute for Occupational Safety and Health (NIOSH).

  • Repetitive duties such as lifting patients, bending and kneeling lead to more back injuries, sprains and strains.
  • The second leading cause is exposure to blood and bodily fluids. These hazards are constant within the profession, but risk of injury can be managed through exercises and stretching or, in the case of exposure to harmful substances, proper use of PPE.
  • Assaults on ambulance workers comes in as third. While reported assaults make up a small portion of total injuries, the number is still 22 times higher than any other occupation.
  • Researchers also believe this number is underreported.
  • Some things ambulance workers can do to avoid occupational injuries:
    • Review and use proper lifting techniques.
    • Do exercises and stretches aimed at strengthening muscles and joints used for common work-related duties.
    • Report assaults and patient violence to help bring attention to the problem and give researchers and lawmakers a better data to work with.(Source: OHSOnline)