Maryland’s hospitals are committed to preventing workplace violence, promoting a culture of safety, and maintaining a safe healing environment for patients, staff, and visitors.

The Maryland Hospital Association conducted a survey in 2019 to assess workplace violence incidents and preventive practices within member hospitals. The survey was designed in collaboration with the Workplace Violence Prevention Steering Committee, a partnership between MHA and the Maryland Nurse’s Association. Overall, members said they need more resources to address and prevent workplace violence.

The resources you’ll find on this page come from federal and state agencies, hospitals, as well as health care regulating bodies. We invite hospitals, health systems, and other organizations to submit their own resources to MHA.

 

Establishing a Culture of Safety

American College of Healthcare Executives and Institute for Healthcare Improvement/ IHI/NPSF Lucian Leape Institute Leading a Culture of Safety: A Blueprint for Success (2017) 
American Organization for Nursing Leadership Guiding Principles for Mitigating Violence in the Workplace (2019)
Johns Hopkins Medicine Johns Hopkins Medicine Workplace Violence Framework
International Association for Healthcare Security & Safety Violent Patient / Patient Visitor Management - Industry Guidelines (2018)
Piedmont Athens Regional Developing a Comprehensive Workplace Violence Prevention Program
Association for Community Health Improvement and Hospitals in Pursuit of Excellence Hospital Approaches to Interrupt the Cycle of Violence (2015)
Maryland Occupational Safety & Health Workplace Violence & Prevention

 

Risk Assessment & Gap Analysis Tools

Minnesota- Department of Health, Hospital Association, Medical Association, Nurses Association and Care Providers Association Preventing Violence in Healthcare Gap Analysis (n.d.)
Johns Hopkins Health System Gap Analysis for The Joint Commission SEA 59: Physical and Verbal Violence Against Health Care Workers (2018) [Word Document]
American Hospital Association Workplace Violence Staff Assessment Survey
American Society for Health Care Risk Management Health Care Facility Workplace Violence Risk Assessment Tool
Oregon Association of Hospitals and Health Systems Oregon Work Place Violence Program – Gap Analysis Checklist (modified) [Excel Spreadsheet]
Oregon Association of Hospitals and Health Systems Safety and Security Check List [Word Document | Excel Spreadsheet]
Oregon Association of Hospitals and Health Systems Calculating Direct and Indirect Injury Costs [Excel Spreadsheet]

 

Patient Assessment Tools

The Centers for Disease Control and Prevention Workplace Violence Prevention for Nurses - Triage Tool
The Centers for Disease Control and Prevention Workplace Violence Prevention Program- Danger Assessment Tool
National Association of State Mental Health Program Directors (NASMHPD) A Snapshot of Six Core Strategies for the Reduction of S/R (Seclusion and Restraint) (2006)
American College of Emergency Physicians Risk Assessment and Tools for Identifying Patients at High Risk for Violence and Self-Harm in the ED (2015)
Jacobi Medical Center (NY) Jacobi Medical Center Violence Reduction Protocol

 

Training

Healthcare and Public Health Sector Coordinating Council Active Shooter: Planning And Response: Learn How to Survive a Shooting Event in a Healthcare Setting (2017)
Oregon Association of Hospitals and Health Systems Workplace Violence Prevention Education and Training Plan [Word Document]

 

Post-Incident Response

Johns Hopkins Health System Manager/Designee Checklist Post Work Place Violent Event
Oregon Association of Hospitals and Health Systems Workplace Violence Incident Report Form [Word Document]

 

State Legal Resources

District Court of Maryland Application for Statement of Charges [Document 1 | Document 2]
District Court of Maryland Criminal Complaints Brochure: How to File a Criminal Complaint in the District Court of Maryland
Maryland Judiciary Request for Shielding Information in Criminal Case
Adapted from “The Challenge of Crime in a Free Society,” Bureau of Justice Statistics What Is the Sequence of Events in the Criminal Justice System? (1997)
Maryland State Attorney Maryland State’s Attorney Liaison Contact List

 

Research Articles & Studies

Milliman Research Report for the American Hospital Association Cost of Community Violence to Hospitals and Health Systems (2017)
US Government Accountability Office - Report to Congress Workplace Safety & Health - Additional Efforts Needed to Health Protect Health Care Workers from Workplace Violence (2016)
American Journal of Industrial Medicine Hospital Workers Bypass Traditional Occupational Injury Reporting Systems When Reporting Patient and Visitor Perpetrated (Type II) Violence (2016)
American College of Occupational and Environmental Medicine Preventing Patient to Worker Violence in Hospitals: Outcome of a Randomized Controlled Intervention (2017)
American College of Occupational and Environmental Medicine Violence in Healthcare Facilities: Lessons from the Veterans Health Administration (2004)
International Emergency Nursing Violence Toward Emergency Nurses: A Narrative Review of Theories and Frameworks (2017)
The Journal of the American Medical Association Workplace Violence in Health Care: A Critical Issues with a Promising Solution (2016)
Workplace Health and Safety Workplace Violence Training Programs for Health Care Workers: An Analysis of Program Elements (2017)
American College of Occupational and Environmental Medicine Worksite Walkthrough Intervention: Data-driven Prevention of Workplace Violence on Hospital Units (2017)
Maryland Safe Care Initiative Workplace Violence in Healthcare: Maryland’s Silent Crisis (n.d.)
American College of Emergency Physicians (ACEP) Emergency Department Violence Survey (2018)

 

Toolkits

Alaska State Hospital & Nursing Home Association and Washington State Hospital Association Preventing Health Care Workplace Violence Toolkit (2017)
American Organization for Nursing Leadership and Emergency Nurses Association Mitigating Violence in the Workplace Toolkit (n.d.)
State of California Workplace Violence Prevention Guidelines and Model Program (California) (2001)
California Hospital Association Healthcare Workplace Violence Prevention - How to Comply with Cal/OSHA Regulation (2017)
Oregon Association of Hospital and Health Systems Preventing Workplace Violence in Hospitals Presentation
Oregon Association of Hospital and Health Systems Workplace Violence Prevention Toolkit
American Hospital Association Includes links to toolkit, checklists, risk assessment tool and webinars.

 

Sample Signage & Resources from Members

MedStar Montgomery SBAR/Purple Diamond Explanation/Definitions
MedStar Montgomery Safety & Security Public Signage
MedStar Health Report Workplace Violence Purple Diamond Sign
MedStar Health Purple Diamond Sign
UM Upper Chesapeake Health WPV Reporting Hotline Icon
University of Maryland Baltimore Washington Medical Center Law Enforcement Booklet and Safety Card