TY - CHAP M1 - Book, Section TI - Patient Violence A1 - Kondracke, Andrea M. A1 - M. Lewin, Justin A1 - A. Kondas, Cathy A1 - Zerbo, Erin A. A2 - Nelson, Lewis S. A2 - Howland, Mary Ann A2 - Lewin, Neal A. A2 - Smith, Silas W. A2 - Goldfrank, Lewis R. A2 - Hoffman, Robert S. PY - 2019 T2 - Goldfrank's Toxicologic Emergencies, 11e AB - The aggressive and/or violent patient presents unique challenges. Like suicidal patients, aggressive individuals are difficult to treat and they tend to elicit strong negative reactions in hospital personnel ranging from anger to fear.42 Workplace violence is unfortunately commonplace within the health care setting, and is particularly prominent in the inpatient psychiatry ward and emergency department settings.20 Of the approximately 24,000 annual workplace assaults occurring between the years of 2011 and 2013 in the United States, approximately 75% were within the health care and social service settings.37 The prevalence of verbal and physical assaults reported by emergency nurses within a 12-month period is as high as 100% and 82%, respectively.34 Additionally, a survey of emergency physicians within the state of Michigan showed that 25% of emergency physicians reported being a target of physical assault within 12 months.27 These statistics on workplace violence in health care settings are likely underestimates as events are often underreported to health care supervisors and administrators. Workplace violence occurs so frequently that there is a perception among health care workers that violence is “the norm” and an expected part of their job.44 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1163022340 ER -