# Presentation: 691397

## Table 1:  National Crime Victimization Survey (U.S.) for 1992-96

**All occupations****	****	****	****14.8**
**Medical**
**    ****RNs  ****	****	****	****	****24.8**
**    ****Physicians****	****	****	****15.7**
**    ****Technicians****	****	****	****21.4**

**Occupations of victims ****of non-fatal assaults**

**Rate per 1,000 ****worker**

## Table 2:  National Crime Victimization Survey 1992-1996

**Mental Health**
**    ****Professional             ****	****	****  79.5**
**    ****Custodial               ****	****	****  63.3**
**     ****Other                    ****	****	****  64.0**
**Law Enforcement****	**
**    ****Police                 ****	****     ****	****306.0**
**    ****Private Security****	****      ****	****117.3**
**    ****Correctional Officer ****	****	****217.8**

**Occupations of victims ****of non-fatal assaults**

**Rate per 1,000 ****worker**

## Table 3:  Minnesota Workers Compensation Records - fatal and non-fatal assaults

**All occupations****	****	**** ****	****	****  .04**
**Social services****	****	****	****	****3.40**
**Health services****	****	****	****	****2.02**

**Industries**

**Rate per 1,000 worker**

**Nursing aides..****	****	****	****179****	****	****  29****	**
**Other health aides****	****	****109****	****	****  16**
**Licensed practical nurses****	****  31****	****	****    4**
**Registered nurses****	****	****  31****	****  ****	****    4**
**All health****	****	****	****	****350****	****  ****	****  51**
**All occupations****	****	****	****682****	****	****100**

**Occupations**

**%**

**Number**

## Table 4: RATE DIFFERENCES: Under-reporting vs higher rates

**Public versus private sector hazards**
**Severity (days away from work)**
**Jurisdictional issues**
**Coding accuracy**
**Reporting behavior**

**Reporting behavior**
**Attribution of intent**
**Inurement to assault**
**Expectation of harm**
**Peer pressure**
**Paperwork requirements**
**Blame**

## Table 5: VHA DATA ON VIOLENCE

**Office of Security and Law Enforcement: “Police Package” (Incident Reporting System)**
**Workers Compensation Management Information System (WC-MIS): injuries to workers accepted as work-related injuries**
**Automated Safety Incident Surveillance and Tracking System (ASISTS): employees injuries reported to safety/occupational health**
**Patient Incident Safety System**
**Local systems (PIR)**

## Table 6: Total rates of injuries from assaults 1994-2000 1994-1999 (-21%) 1999-2000 (-30%-old denominator  or +37%-new denominator)

## Table 7: ASSAULTS in VHA: 1998-1999

**(OSLE – PP)**

## Table 8: All Assaults 1998 – 1999

**(OSLE – PP)**

## Table 9:  Violence Without a Weapon in VA: total incidents reported as compensable injuries

**Note:  Includes VHA, VBA, NCA, and VSC**

**WC-MIS**

## Table 10:  Violence With a Weapon in VA (WC Total Case Claims Data)

**Note:  Includes VHA, VBA, NCA, and VSC**

**WC-MIS**

## Police (83) 				110  	  11.7Nursing (610)  			271 		  28.9Practical nurses (620) 		166		  17.7Nursing Assistants (621) 	269 		  28.7Total for 4 categories		816 		  87.0Total 1999-200			938		100.0

**Occupation**

**Number**

**Percent**

**Table 11: VIOLENCE-ASSAULTS IN VHA 1999-2000 ****Four most common occupations**

**ASISTS**

**Notes:**
The majority of slips, trips, and falls occur in the lower extremitie, with over 65% of injuries occurring in the lower back and legs.

## Table 12: Assaults with and without weapons – FY 2000

**WC-MIS**

## Table 13:  Assaults by Location 1999-2000

**ASISTS**

**Inpatient units****	****	****	****304****	****	****32.4****Nursing Home units****	****	****156****	****	****16.6****Emergency Department****	****	****  48****	****	****  5.2****Intensive Care Units****	****	****  36****	****	****  3.8****Office/administrative areas****	****  17****	****	****  1.8****Out-patient Clinics****	****	****  13****	****	****  1.4****Grounds****	****	****	****	****  13****	****	****  1.4**

**Number**

**Percent**

**Location**

**Notes:**
Slips, trips, and falls represent the single most common mode of injury, with 17.6% of injuries attributed to that mechanism.   Slips, trips, and falls occur in a wide range of setings and during a wide range of activities.  They are common in construction, farming, and many other industries.  

Within the health care industry, there is some suggestion that they result from a combination of environmental (unsafe conditions) and personal (work practices) factors.  Surface texture, shoes, spillage, and inadequate maintenance represent common contributing conditions.  Working with inadequate visibility, without having planned an action completely, and without focus on tasks are primary work practices that contribute to these injuries

## Table 14:  Assaults -  general occupational categories by patient related 1999-2000

**ASISTS**

**Notes:**
The majority (2/3) of slips, trips, and falls occurred in non-clinical areas.  Slips, trips, and falls are equally divided among clinical and non-clinical personnel.

## Table 15:  Assaults - Immediate return to work by general occupations (1999-2000)

**ASISTS**

**Notes:**
Personnel in clinical and non-clinical areas returned to full and to limited duty in similar proportions, as did broad occupational groupings of personnel (not shown).  In addition, similar proportions of occupational groupings had lost time injuries (not shown).  Lost time claims occurred in  similar proportions in clinical and non-clinical areas

## Table 16:  Core Competencies and Training Module Needs