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Antisocial Behavior on Healthcare Professionals in an Emergency Unit. (PREVURGO)

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT02015884
First Posted: December 19, 2013
Last Update Posted: October 23, 2015
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
Hospices Civils de Lyon
  Purpose

At the hospital, the attacks against health professionals are becoming commonplace, making working conditions difficult. The ophthalmological emergencies are a perfect testing ground to evaluate the effectiveness of a series of original actions to prevent the occurrence of violence against healthcare workers. The main objective is to measure the impact of an integrated prevention of the occurrence of antisocial behavior or attacks against the healthcare workers.

The prevention program combines five interventions (steps): 1) a computer sorting algorithm and specific screens for calling patients in waiting rooms, 2) a clear signage to direct patients between waiting rooms, treatment rooms and administrative et medical offices, 3) Posts information on the activity of emergency services displayed on screens, in the waiting rooms, 4) a mediator/go-between/conciliator, 5) and a dummy surveillance camera.

This is an interrupted time series study. All patients admitted to the ophthalmological emergency unit of a university hospital located in Lyon, France, are included in the study, from June 2013 to Sept 2015


Condition
Rudeness/Incivility, Aggression or Violence Against Healthcare Workers in an Ophthalmic Emergencies Unit.

Study Type: Observational
Study Design: Time Perspective: Prospective
Official Title: Impact of a Program to Prevent the Risk of Antisocial Behavior and Attacks of Patients or Attendant on Healthcare Workers in an Ophthalmic Emergency Unit.

Further study details as provided by Hospices Civils de Lyon:

Primary Outcome Measures:
  • Proportion of patients (or their attendants) who committed a rudeness/incivility or aggression or violence against healthcare workers. [ Time Frame: Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours. ]
    When seeking to characterize the violent behavior, three levels of increasing aggressiveness are typically distinguished: a) incivility i.e. the lack of respect for others characterized by relatively mild acts, b) physical or verbal aggression (insults, threats, assault), and c) the violent act.


Secondary Outcome Measures:
  • Occurrence of antisocial behavior or assaults against other patients or carers attending the ophthalmological emergencies. [ Time Frame: Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours. ]
    Proportion of incivility or assaults against other patients or attendant present (number of incivility or assaults on the number of patients admitted to the emergency)

  • Waiting times for patients [ Time Frame: Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours. ]
    Average waiting times for patients with ophthalmic emergencies before they were taken care of by a doctor.

  • Stress of healthcare personnel [ Time Frame: 30 minutes ]
    Stress at work of health personnel engaged in an ophthalmic emergency unit measured by the Karasek questionnaire. 30 mn are necessary to complete the questionnaire.

  • Satisfaction of patients [ Time Frame: Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours. ]

Enrollment: 58465
Study Start Date: May 2013
Study Completion Date: September 2015
Primary Completion Date: September 2015 (Final data collection date for primary outcome measure)
Groups/Cohorts
All patients admitted to the ophthalmologic emergency unit.

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
All patients admitted to the ophthalmologic emergency unit will be included in the study.
Criteria

Inclusion Criteria:

  • Patient admitted to the ophthalmologic emergency unit

No Exclusion Criteria

  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02015884


Locations
France
Hospices Civils de Lyon - Hôpital Edouard Herriot
Lyon, France, 69003
Sponsors and Collaborators
Hospices Civils de Lyon
  More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Hospices Civils de Lyon
ClinicalTrials.gov Identifier: NCT02015884     History of Changes
Other Study ID Numbers: D50794
First Submitted: December 10, 2013
First Posted: December 19, 2013
Last Update Posted: October 23, 2015
Last Verified: October 2015

Keywords provided by Hospices Civils de Lyon:
Incivility
Rudeness
Aggression
Violent act
Healthcare workers
Emergency unit

Additional relevant MeSH terms:
Emergencies
Aggression
Disease Attributes
Pathologic Processes
Behavioral Symptoms


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