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Effect of low-cost interventions to reduce the incidence of violent events in two public sector tertiary-care emergency departments, Pakistan / Shiraz Shaikh;Hamid Shahzad;Mirwais Khan;Lubna Baig;Seemin Jamali;Ibrahim Hashmi;Athar Hussain Memon;Uzma Qadri;Lubna Mazharullah;Samina Zaib

Tác giả : Shiraz Shaikh;Hamid Shahzad;Mirwais Khan;Lubna Baig;Seemin Jamali;Ibrahim Hashmi;Athar Hussain Memon;Uzma Qadri;Lubna Mazharullah;Samina Zaib

Nhà xuất bản : World Health Organization. Regional Office for the Eastern Mediterranean

Năm xuất bản : 2022

Chủ đề : 1. Health Systems. 2. Pakistan. 3. Personal Protective Equipment. 4. Journal / periodical articles.

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Tóm tắt :

Background: Violence against health care workers has been widely reported in Pakistan. Aims: This study, from September 2019 to April 2020, aimed to determine the effect of low-cost interventions to reduce violent events in two tertiary-care emergency departments in Karachi and Peshawar, Pakistan. Methods. In phase one, a surveillance system was established in each department and information on violent events was recorded for three months. In phase two, low-cost interventions designed to reduce violent events were introduced,e.g. awareness-raising material on violence for patients, training for health care workers and visitor identification cards. Violent events were then recorded for another three months and the percentage difference in number of violent events was calculated. Results: In Karachi, 256 violent events occurred before the intervention and 225 after the intervention, a 12.1% reduction. Physical violence events decreased significantly by 42.9% (P = 0.044). The number of events perpetrated by health care workers decreased by 61.9% (P = 0.016) while those perpetrated by patients decreased only by 5.7% (P = 0.538). In Peshawar, 90 violent events occurred before the intervention and 45 events after, a 50.0% reduction (P = 0.009). The number of events perpetrated by health care workers was the same in both phases. Events perpetrated by patients or their companions de- creased significantly by 59.72% (P = 0.001). Conclusion: Violence against health care workers can be reduced significantly by improving their prevention and de-es- calation skills. Client educational interventions, supplemented with hospital regulations and patient guidance, can also help reduce the incidence of violent events.

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https://iris.who.int/handle/10665/361793