ArticleBMC emergency medicine2025
Understanding and measuring workplace violence in healthcare: a Canadian systematic framework to address a global healthcare phenomenon.
Article in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How to Adequately Report Workplace Violence in Healthcare Setting: A Systematic Review With Hierarchical Cluster Analysis of Workplace Violence Reporting Forms.Journal of nursing management · 2026Pooled it
- A Realist Evaluation of a Rapid Response System for Mental State Deterioration in Acute Hospital Settings.Journal of advanced nursing · 2026Article
- Article
- Ending Abusive Patient- and Family-Initiated Relationships in Alberta Nursing Practice: The Case for a Nurse-Specific Regulatory Standard.Nursing reports (Pavia, Italy) · 2026Article
- Assessment of patient safety culture among nurses in Djibouti: a multicentric study.BMC nursing · 2026Article
- Editorial: Workplace violence in healthcare: prevention strategies and mental health consequences.Frontiers in psychiatry · 2026Article
- The rising tide of workplace violence in the healthcare sector: a global scoping review of burden, determinants, and prevention strategies (2021-2025).Frontiers in public health · 2026Article
- Quality improvement project to transition psychosocial oncology clinical care to a telehealth workflow during the COVID-19 pandemic: a quasi-experimental study.BMC health services research · 2025Article
- Workplace Violence, Self-Perceived Resilience and Associations with Turnover Intention Among Emergency Department Nurses: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Confronting workplace violence in emergency care: insights from global research.BMC emergency medicine · 2025Article
- Exploring the Impact of Workplace Violence in Urban Emergency Departments: A Qualitative Study.Healthcare (Basel, Switzerland) · 2025Article
- Developing a customised set of evidence-based quality indicators for measuring workplace violence towards healthcare workers: a modified Delphi method.BMJ open quality · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
19 authors.
Funding
Abstract
backgroundGlobally, healthcare institutions have seen a marked rise in workplace violence (WPV), especially since the Covid-19 pandemic began, affecting primarily acute care and emergency departments (EDs). At the University Health Network (UHN) in Toronto, Canada, WPV incidents in EDs jumped 169% from 0.43 to 1.15 events per 1000 visits (p < 0.0001). In response, UHN launched a comprehensive, systems-based quality improvement (QI) project to ameliorate WPV. This study details the development of the project's design and key takeaways, with a focus on presenting trauma-informed strategies for addressing WPV in healthcare through the lens of health systems innovation.
methodsOur multi-intervention QI initiative was guided by the Systems Engineering Initiative for Patient Safety (SEIPS) 3.0 framework. We utilized the SEIPS 101 tools to aid in crafting each QI intervention.
resultsUsing the SEIPS 3.0 framework and SEIPS 101 tools, we gained a comprehensive understanding of organizational processes, patient experiences, and the needs of HCPs and patient-facing staff at UHN. This information allowed us to identify areas for improvement and develop a large-scale QI initiative comprising 12 distinct subprojects to address WPV at UHN.
conclusionsOur QI team successfully developed a comprehensive QI project tailored to our organization's needs. To support healthcare institutions in addressing WPV, we created a 12-step framework designed to assist in developing a systemic QI approach tailored to their unique requirements. This framework offers actionable strategies for addressing WPV in healthcare settings, derived from the successes and challenges encountered during our QI project. By applying a systems-based approach that incorporates trauma-informed strategies and fosters a culture of mutual respect, institutions can develop strategies to minimize WPV and promote a safer work environment for patients, families, staff, and HCPs.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.