Clinical trial NCT02015884: Antisocial Behavior on Healthcare Professionals in an Emergency Unit.
Official title: Impact of a Program to Prevent the Risk of Antisocial Behavior and Attacks of Patients or Attendant on Healthcare Workers in an Ophthalmic Emergency Unit.
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Rudeness/Incivility, Aggression or Violence Against Healthcare Workers in an Ophthalmic Emergencies Unit.
Keywords: Incivility
Rudeness
Aggression
Violent act
Healthcare workers
Emergency unit
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2013-12-19
Enrollment: 58465
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All patients admitted to the ophthalmologic emergency unit will be included in the study.

Brief summary: At the hospital, the attacks against health professionals are becoming commonplace, making working conditions difficult. The ophthalmological emergencies are a perfect testing ground to evaluate the effectiveness of a series of original actions to prevent the occurrence of violence against healthcare workers. The main objective is to measure the impact of an integrated prevention of the occurrence of antisocial behavior or attacks against the healthcare workers.

The prevention program combines five interventions (steps): 1) a computer sorting algorithm and specific screens for calling patients in waiting rooms, 2) a clear signage to direct patients between waiting rooms, treatment rooms and administrative et medical offices, 3) Posts information on the activity of emergency services displayed on screens, in the waiting rooms, 4) a mediator/go-between/conciliator, 5) and a dummy surveillance camera.

This is an interrupted time series study. All patients admitted to the ophthalmological emergency unit of a university hospital located in Lyon, France, are included in the study, from June 2013 to Sept 2015


Eligibility criteria: Inclusion Criteria:

* Patient admitted to the ophthalmologic emergency unit

No Exclusion Criteria

Primary outcomes:
measure: Proportion of patients (or their attendants) who committed a rudeness/incivility or aggression or violence against healthcare workers.
timeFrame: Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours.
Secondary outcomes:
measure: Occurrence of antisocial behavior or assaults against other patients or carers attending the ophthalmological emergencies.
timeFrame: Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours.
measure: Waiting times for patients
timeFrame: Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours.
measure: Stress of healthcare personnel
timeFrame: 30 minutes
measure: Satisfaction of patients
timeFrame: Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours.
Other outcomes:
Locations:
city: Lyon
country: France
facility: Hospices Civils de Lyon - Hôpital Edouard Herriot
Study officials:
References:
citation: Touzet S, Occelli P, Denis A, Cornut PL, Fassier JB, Le Pogam MA, Duclos A, Burillon C. Impact of a comprehensive prevention programme aimed at reducing incivility and verbal violence against healthcare workers in a French ophthalmic emergency department: an interrupted time-series study. BMJ Open. 2019 Sep 5;9(9):e031054. doi: 10.1136/bmjopen-2019-031054.
citation: Touzet S, Cornut PL, Fassier JB, Le Pogam MA, Burillon C, Duclos A. Impact of a program to prevent incivility towards and assault of healthcare staff in an ophtalmological emergency unit: study protocol for the PREVURGO On/Off trial. BMC Health Serv Res. 2014 May 19;14:221. doi: 10.1186/1472-6963-14-221.