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{
    "pk": 9712,
    "title": "Workplace Violence and Harassment Against Emergency Medicine Residents",
    "subtitle": null,
    "abstract": "Introduction:\n Several studies have shown that workplace violence in the emergency department (ED) iscommon. Residents may be among the most vulnerable staff, as they have the least experience with thesevolatile encounters. The goal for this study was to quantify and describe acts of violence against emergencymedicine (EM) residents by patients and visitors and to identify perceived barriers to safety.\nMethods:\n This cross-sectional survey study queried EM residents at multiple New York City hospitals. Theprimary outcome was the incidence of violence experienced by residents while working in the ED. Thesecondary outcomes were the subtypes of violence experienced by residents, as well as the perceivedbarriers to safety while at work.\nResults:\n A majority of residents (66%, 78/119) reported experiencing at least one act of physical violenceduring an ED shift. Nearly all residents (97%, 115/119) experienced verbal harassment, 78% (93/119) hadexperienced verbal threats, and 52% (62/119) reported sexual harassment. Almost a quarter of residentsfelt safe “Occasionally,” “Seldom” or “Never” while at work. Patient-based factors most commonly cited ascontributory to violence included substance use and psychiatric disease.\nConclusion:\n Self-reported violence against EM residents appears to be a significant problem. Incidenceof violence and patient risk factors are similar to what has been found previously for other ED staff.Understanding the prevalence of workplace violence as well as the related systems, environmental, andpatient-based factors is essential for future prevention efforts. [West J Emerg Med. 2016;17(5)567-573.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "violence, harassment, residents, housestaff, GME, safety, security"
        }
    ],
    "section": "Education",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3md9g1kz",
    "frozenauthors": [
        {
            "first_name": "Benjamin",
            "middle_name": "H.",
            "last_name": "Schnapp, MD",
            "name_suffix": "",
            "institution": "Northwestern University, Feinberg School of Medicine, Department of Emergency\nMedicine, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Benjamin",
            "middle_name": "H.",
            "last_name": "Slovis, MD",
            "name_suffix": "",
            "institution": "Mount Sinai Hospital, Icahn School of Medicine, Department of Emergency\nMedicine, New York, New York\nColumbia University, Department of Biomedical Informatics, New York, New York",
            "department": "None"
        },
        {
            "first_name": "Anar",
            "middle_name": "D.",
            "last_name": "Shah, MD, MBA",
            "name_suffix": "",
            "institution": "Mount Sinai Hospital, Icahn School of Medicine, Department of Emergency Medicine, New York, New York",
            "department": "None"
        },
        {
            "first_name": "Abra",
            "middle_name": "L.",
            "last_name": "Fant, MD, MS",
            "name_suffix": "",
            "institution": "Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Michael",
            "middle_name": "A.",
            "last_name": "Gisondi, MD",
            "name_suffix": "",
            "institution": "Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Kaushal",
            "middle_name": "H.",
            "last_name": "Shah, MD",
            "name_suffix": "",
            "institution": "Mount Sinai Hospital, Icahn School of Medicine, Department of Emergency Medicine, New York, New York",
            "department": "None"
        },
        {
            "first_name": "Christie",
            "middle_name": "A.",
            "last_name": "Lech, MD",
            "name_suffix": "",
            "institution": "New York University School of Medicine, Bellevue Hospital Center, NYU Langone\nMedical Center, Department of Emergency Medicine, New York, New York",
            "department": "None"
        }
    ],
    "date_submitted": "2016-03-23T03:06:23Z",
    "date_accepted": "2016-03-23T03:06:23Z",
    "date_published": "2016-07-19T23:47:22Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/9712/galley/5381/download/"
        }
    ]
}