Vol 37, (10) 851-853
Violence in the consulting room - A multifactorial strategy for prevention and harm minimisation
Ross Mills MBChB, BSc, DIH, PGDAvMed, FRNZCGP, FAFOM, FAADEP, CIME, CEDIR, is an occupational physician, Director, Centre for Occupational Medicine, Senior Clinical Lecturer, Graduate School of Medicine, University of Wollongong, New South Wales, and President, Australasian Faculty of Occupational and Environmental Medicine.
BACKGROUND Workplace violence in the medical setting should be approached in the same manner as any other occupational health and safety issue. The hazards need to be identified, the risk quantified and appropriate steps to minimise the risk taken.
OBJECTIVE This article discusses a prevention strategy to increase the barrier to patient initiated violence, and suggests steps that can be taken after an assault to assist the clinician or staff member involved.
DISCUSSION The steps involved in an assault are: the assailant makes the decision to attack, overcomes his or her internal barriers, creates the opportunity, and executes the attack. A prevention strategy involves risk assessment and increasing the barriers in each stage leading to an assault.
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