Evidence map›Paper›PMID 41417092›Full record

ReviewMedizinische Klinik, Intensivmedizin und Notfallmedizin2026

[Position paper of the DGIIN-violence against healthcare personnel in emergeny departments and intensive care units].

Uwe Janssens, Michael Buerke, Hans-Jörg Busch, Anna Carola Hertrich, Michael Kegel, Matthias Kochanek, Guido Michels, Tobias Ochmann, David Queck, Georg Roth and 5 more

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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

15 authors.

Uwe JanssensKlinik für Innere Medizin und Internistische Intensivmedizin, St.-Antonius Hospital, Dechant-Deckers-Str. 8, 52249, Eschweiler, Deutschland. uwe.janssens@sah-eschweiler.de.
Michael BuerkeMedizinische Klinik für Kardiologie, Marien Kliniken Siegen, Kampenstraße 51, 57072, Siegen, Deutschland.
Hans-Jörg BuschZentrum für Notfall- und Rettungsmedizin, Universitätsklinikum Freiburg, Breisacher Straße 153, 79110, Freiburg, Deutschland.
Anna Carola HertrichKlinik für Intensivmedizin, Zentrum für Anästhesiologie und Intensivmedizin, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20251, Hamburg, Deutschland.
Michael KegelBildungsakademie der Gesundheit Nord gGmbH, Klinikum Links der Weser, Senator-Weßling-Str. 1, 28277, Bremen, Deutschland.
Matthias KochanekKlinik I für Innere Medizin (Hämatologie und Onkologie), Universitätsklinikum Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
Guido MichelsNotfallzentrum, Krankenhaus der Barmherzigen Brüder Trier, Medizincampus Trier der Universitätsmedizin Mainz, Nordallee 1, 54292, Trier, Deutschland.
Tobias OchmannKlinik für Kardiologie, Pneumologie, Angiologie und Internistische Intensivmedizin, Medizinische Intensivstation, Kath. Marienkrankenhaus Hamburg, Alfredstraße 9, 22087, Hamburg, Deutschland.
David QueckInterdisziplinäre Intensivstation K2, Niels-Stensen-Kliniken Marienhospital Osnabrück, Bischofsstraße 1, 49074, Osnabrück, Deutschland.
Georg RothOberschwabenklinik gGmbH, Elisabethenstraße 15, 88212, Ravensburg, Deutschland.
Jorun ThomaNursing Studies, Universitätsklinikum Freiburg, Hugstetter Str. 49, 79106, Freiburg, Deutschland.
Nadine WeeverinkFächerverbund für Infektiologie, Pneumologie und Intensivmedizin, CIP - Charité Intensivpflege, CC12 Charité Campus Mitte (CCM), Charité-Platz 1, 10117, Berlin, Deutschland.
Dirk WeismannInternistische Notfall- und Intensivmedizin, Medizinische Klinik und Poliklinik I, Universitätsklinikum Würzburg, Oberdürrbacher-Str. 6, 97080, Würzburg, Deutschland.
Sebastian WolfrumInterdisziplinäre Notaufnahme, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3, 24105, Kiel, Deutschland.
Stefan KlugeZentrum für Anästhesiologie und Intensivmedizin, Klinik für Intensivmedizin, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveViolence against healthcare workers in emergency departments and intensive care units has increased significantly in recent years, posing a substantial threat to staff safety. In German emergency departments, 97% of staff report verbal violence and 76% report physical violence. The German Society for Medical Intensive Care and Emergency Medicine (DGIIN) presents the first comprehensive position paper on violence prevention and protective measures.

methodsThe position paper was developed by an interprofessional author group of the DGIIN based on current research data, international literature, and clinical practice experience. It analyzes forms, frequency, causes, and consequences of violence in the hospital setting and develops concrete recommendations for action.

resultsViolence manifests as verbal, physical, sexual, and racist assaults, with patient-related violence (type II) being most common. Main causes are intoxication (45%), long waiting times, staff shortages, and existential fears. Consequences include work disability to posttraumatic stress disorder (PTSD, 15.8%). The position paper defines eight action areas: standard operating procedures (SOPs), leadership responsibility, systematic incident reporting, mandatory training and de-escalation programs with emphasis on verbal and nonverbal communication techniques (active listening, body language), structured psychosocial support (acute care and peer support), staffing, security measures (services, structural modifications, alarm systems, video surveillance), legal protection.

conclusionViolence prevention and staff protection are essential to patient safety. Professional communication competencies are central de-escalation instruments. The DGIIN demands systematic implementation of all measures in hospitals and their integration into financing. A zero-tolerance culture toward violence, combined with preventive, intervening, and follow-up structures, secures workforce capacity and qualified personnel retention.

Indexed as

Emergency Service, HospitalIntensive Care UnitsViolenceWorkplace ViolenceGermanyHumansLeadershipStress Disorders, Post-TraumaticCommunicationDe-escalationHospital securityPatient safetyStaff protectionViolence prevention

Identifiers

What OpenQuestion holds

Textmetadata
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.