Observational studyBMJ open2019
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.
Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02015884 (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.), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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.
Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Preventing Violence against Healthcare Workers in Hospital Settings: A Systematic Review of Nonpharmacological Interventions.Journal of nursing management · 2023Pooled it
- Interventions for Workplace Violence Prevention in Emergency Departments: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Assessing the experiences of violence among healthcare workers in Calgary emergency departments.CJEM · 2026Article
- Perceived Effectiveness of Workplace Violence Prevention Strategies Among Bulgarian Healthcare Professionals: A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2026Article
- Causes of workplace violence against nurses and strategies for its prevention in developed countries: a scoping review.BMC nursing · 2026Article
- Use of machine learning in occupational risk communication for healthcare workers: protocol for scoping review.BMJ open · 2025Article
- Review
- Article
- Predictors of events of violence or aggression against nurses in the workplace: A scoping review.Journal of nursing management · 2022Article
- Article
- Strategies used by emergency care professionals to handle interpersonal difficulties with patients: a qualitative study.BMJ open · 2021Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
OBJECTIVE AND
settingPrimary prevention, comprising patient-oriented and environmental interventions, is considered to be one of the best ways to reduce violence in the emergency department (ED). We assessed the impact of a comprehensive prevention programme aimed at preventing incivility and verbal violence against healthcare professionals working in the ophthalmology ED (OED) of a university hospital.
interventionThe programme was designed to address long waiting times and lack of information. It combined a computerised triage algorithm linked to a waiting room patient call system, signage to assist patients to navigate in the OED, educational messages broadcast in the waiting room, presence of a mediator and video surveillance.
participantsAll patients admitted to the OED and those accompanying them.
designSingle-centre prospective interrupted time-series study conducted over 18 months. PRIMARY OUTCOME: Violent acts self-reported by healthcare workers committed by patients or those accompanying them against healthcare workers. SECONDARY OUTCOMES: Waiting time and length of stay.
resultsThere were a total of 22 107 admissions, including 272 (1.4%) with at least one act of violence reported by the healthcare workers. Almost all acts of violence were incivility or verbal harassment. The rate of violence significantly decreased from the pre-intervention to the intervention period (24.8, 95% CI 20.0 to 29.5, to 9.5, 95% CI 8.0 to 10.9, acts per 1000 admissions, p<0.001). An immediate 53% decrease in the violence rate (incidence rate ratio=0.47, 95% CI 0.27 to 0.82, p=0.0121) was observed in the first month of the intervention period, after implementation of the triage algorithm.
conclusionA comprehensive prevention programme targeting patients and environment can reduce self-reported incivility and verbal violence against healthcare workers in an OED. TRIAL REGISTRATION NUMBER: NCT02015884.
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