Evidence map›Paper›PMID 36976596›Full record

ArticleThe western journal of emergency medicine2023

The Team Is Not Okay: Violence in Emergency Departments Across Disciplines in a Health System.

Sarayna S McGuire, Janet L Finley, Bou F Gazley, Aidan F Mullan, Casey M Clements

Open access · goldFull text read
In one paragraph

Article in The western journal of emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
10.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. A scoping review of risk determinants for workplace violence in emergency departments.European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2026
    Article
  5. Article
  6. Article
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  8. Observational
  9. Article
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  11. Prevalence of Weapons in the Health Care Setting: A Systematic Review and Meta-Analysis.Mayo Clinic proceedings. Innovations, quality & outcomes · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Strategies for optimal management of pediatric acute agitation in emergency settings.Journal of the American College of Emergency Physicians open · 2024
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Sarayna S McGuireMayo Clinic, Department of Emergency Medicine, Rochester, Minnesota.
Janet L FinleyMayo Clinic, Department of Emergency Medicine, Rochester, Minnesota.
Bou F GazleyMayo Clinic, Global Security, Rochester, Minnesota.
Aidan F MullanMayo Clinic, Department of Quantitative Health Sciences, Rochester, Minnesota.
Casey M ClementsMayo Clinic, Department of Emergency Medicine, Rochester, Minnesota.
Mayo Clinic · USMayo Clinic in Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHealthcare workers, particularly those in the emergency department (ED), experience high rates of injuries caused by workplace violence (WPV).

objectiveOur goal was to establish the incidence of WPV among multidisciplinary ED staff within a regional health system and assess its impact on staff victims.

methodsWe conducted a survey study of all multidisciplinary ED staff at 18 Midwestern EDs encompassing a larger health system between November 18-December 31, 2020. We solicited the incidence of verbal abuse and physical assault experienced and witnessed by respondents over the prior six months, as well as its impact on staff.

resultsWe included responses from 814 staff (24.5% response rate) for final analysis with 585 (71.9%) indicating some form of violence experienced in the preceding six months. A total of 582 (71.5%) respondents indicated experiencing verbal abuse, and 251 (30.8%) indicated experiencing some form of physical assault. All disciplines experienced some type of verbal abuse and nearly all experienced some type of physical assault. One hundred thirty-five (21.9%) respondents indicated that being the victim of WPV has affected their ability to perform their job, and nearly half (47.6%) indicated it has changed the way they interact with or perceive patients. Additionally, 132 (21.3%) indicated experiencing symptoms of post-traumatic stress, and 18.5% reported they have considered leaving their position due to an incident.

conclusionEmergency department staff suffer violence at a high rate, and there is no discipline that is spared. As health systems seek to prioritize staff safety in violence-prone areas such as the ED, it is imperative to recognize that the entire multidisciplinary team is impacted and requires targeted efforts for improvement in safety.

Indexed as

Emergency Service, HospitalWorkplace ViolenceAggressionHumansIncidenceSurveys and Questionnaires

Identifiers

PMID36976596
PMCPMC10047752
OpenAlexW4327815412

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read79
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.