Aggressive Behavior Risk Assessment Tool for Emergency Medical Services
Journal of the American College of Emergency Physicians Open,
Год журнала:
2025,
Номер
6(3), С. 100095 - 100095
Опубликована: Март 18, 2025
Emergency
medical
services
(EMS)
clinicians
are
at
risk
of
on-the-job
violence
that
can
result
in
serious
injuries.
A
majority
such
is
associated
with
underlying
behavioral
health
emergencies.
However,
no
simple
screening
tools
have
been
validated
for
use
prehospital
settings.
This
study
aimed
to
examine
the
utility
7-item
Aggressive
Behavior
Risk
Assessment
Tool
Departments
(ABRAT-ED)
modified
settings
identifying
patients
violence.
prospective
included
adult
and
pediatric
aged
≥10
years
transported
by
2
private
EMS
agencies
between
March
11
April
21,
2024.
completed
ABRAT-ED
before
initiating
transport
captured
any
subsequent
physical
assault,
threat,
or
sexual
harassment
using
Violent
Event
Severity
Tool.
Logistic
regression
receiver
operating
characteristics
(ROC)
analysis
were
performed.
Of
11,292
dispatches,
9,024
evaluable,
105
had
≥1
violent
event
(1.16
%).
The
logistic
model
resulted
a
3-item
ABRAT-EMS,
including
agitation,
confusion,
aggressive/threatening
behaviors.
ROC
showed
area
under
curve
0.89
(95%
CI,
0.85-0.94;
P
<
.001).
At
cutoff
score
1,
sensitivity
specificity
82.9%
74.0%-89.3%)
88.1%
87.4%-88.8%),
respectively,
indicating
ABRAT-EMS
would
correctly
identify
while
nonviolent
patients.
brief
checklist
satisfactory
potentially
during
encounters.
help
allow
implementation
proactive,
targeted
prevention
measures.
Язык: Английский
The Buffering Role of Anti‐Violence Human Resource Management Practices in Shaping How Police Officers Cope With Workplace Violence
Human Resource Management,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 5, 2025
ABSTRACT
Anti‐violence
Human
Resource
Management
(HRM)
practices
can
be
used
as
an
organizational
resource
to
buffer
the
effects
of
violence
experienced
by
frontline
workers.
This
research
examines
process
through
which
different
forms
workplace
(i.e.,
physical,
verbal,
and
vicarious)
impact
how
employees
cope,
thereby
their
intentions
leave
profession.
Drawing
on
Conservation
Resources
(COR)
theory,
we
collected
two
waves
data
(
N
=
371)
from
police
officers
in
Victoria,
Australia,
test
our
proposed
hypotheses.
The
findings
demonstrated
that
physical
violence,
verbal
abuse,
vicarious
were
positively
associated
with
coping
denial.
Importantly,
denial
mediated
relationship
between
officers'
intention
Finally,
anti‐violence
HRM
buffered
indirect
effect
profession
via
denial,
whereas
no
was
found
for
abuse.
Our
results
therefore
suggest
play
a
pivotal
role
managing
incidents
at
work
against
findings'
contributions
theory
practice,
well
future
research,
are
discussed.
Язык: Английский
The rate and predictors of violence against EMS personnel
BMC Emergency Medicine,
Год журнала:
2024,
Номер
24(1)
Опубликована: Окт. 23, 2024
Violence
against
Emergency
Medical
Services
(EMS)
personnel
vary
between
studies.
Current
studies
are
mainly
based
on
self-reporting,
thus
other
designs
needed
to
provide
more
perspective.
The
purpose
of
this
study
was
explore
the
rate
and
predictors
violent
behavior
targeted
at
EMS
by
exploring
Electronic
patient
care
records
(ePCR)
documentation
personnel.
This
a
retrospective
cohort
patients
in
Finland.
data
were
collected
from
three
regions
1st
June
30th
November
2018.
Text
mining
manual
evaluation
used
identify
violence
ePCR
narratives.
Multivariable
logistic
regressions
determine
factors
that
independently
associated
with
behavior.
results
presented
odds
ratios
(ORs)
95%
confidence
intervals
(CIs).
reported
experiences
total
297
identified
missions
(0.7%)
all
(n
=
40,263).
mostly
verbal
(62.3%)
most
common
perpetrator
(98.0%).
police
alarmed
many
where
(40.7%).
Sometimes
occurred
suddenly
although
present.
multivariable
regression
model
indicates
typically
urban
areas
(OR
1.699;
CI
1.283
2.248),
weekend
nights
1.357;
1.043
1.765),
male
1.501;
1.160
1.942),
influenced
alcohol
3.464;
2.644
4.538).
A
NEWS2
score
3
any
parameter
(vs.
0–4,
OR
2.386;
CI:
1.788
3.185)
ALS
unit
type
BLS,
1.373;
1.009
1.866)
increased
likelihood
as
well.
ePCRs
show
low
rates
However,
is
multidimensional
phenomenon
connected
unfamiliar
patients,
rushed
situations,
an
uncontrolled
environment.
means
personnels'
safety
cannot
be
ensured
situations.
Therefore,
balance
margins
treating
needs
considered.
Язык: Английский