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Patient and Employee Safety on Hospitals — April 30, 2015

Patient and Employee Safety on Hospitals

There is a growing epidemic of state hospital violence in United States that continues to go unaddressed by the government. There is little assistance provided by state officials in protecting the abuse and assaults perpetrated by patients in various hospitals. In a survey conducted by Speroni last year, a staggering 80% of attacks were found to be perpetrated upon nurses in the workplace by patients.

This shocking statistic sends shock waves across US for the lack of resources to provide effective counseling and assistance to state hospitals and for protecting the interests of both patient and employee. The escalating risks to both parties pose a serious threat for the functioning of state hospitals.

MABPRO Counseling and Training Services

MABPRO’s expertise and experience in providing Management of Assaultive Behavior (MAB) courses and training serve to provide effective ways to prevent workplace violence and assault. Our courses are official MAB® certified courses that cover the California AB 508, AB 1083, AB 30, and AB 1299. Our training services and counseling center on providing state hospitals the following benefits:

  • Identify and mitigate potential workplace conflicts
  • Assist in preventing verbal and physical forms of assault on employees
  • Protect property of state hospitals
  • Minimize employee turnover and labor costs
  • Minimize security costs

Protecting Employees

Our courses center exclusively in training employees to identify and anticipate symptoms of a potential attack. We take employees through a practical and conceptual framework that analyzes the different types of abusive behavior to be mindful of and how to use self-defense techniques both physical and non-physical to curb the threats of a violent attack.

Our seminars are designed to provide effective advice and counseling relevant to the challenges faced by your organization. We undertake in-depth group discussions to facilitate the best courses of action geared towards ensuring employee safety and workplace productivity.

Empathizing With Patients

We offer a unique set of skills geared towards containing and preventing heated situations with patients. We ensure that patients also get their share of protection by preventing the risk of them harming themselves and others in the workplace through a process aimed at ‘De-escalation’.

Our training focuses on equipping employees to treat patients with the utmost respect and compassion as a mechanism to understand their pain and issues that has the capacity to affect patients in a significantly positive way.

Employees are assisted in keeping a close watch at the warning signs and triggers that could escalate into an assault such as shouting, cursing, verbal threats and pulling and throwing nearby objects.

Fostering A Stress-Free Work Culture

Our counseling and training services are aimed at identifying elements in the workplace that contribute to stress among patients and therefore violent attacks. We pay close attention to the workplace environment and assess how it is conducive to stress

For example, are the lights working properly and not too disturbing on the eyes of patients? Are the air conditioning and ventilation in proper use and maintain healthy atmosphere? Are there any administrative barriers erected that inhibit stress and risk of violence among patients?

These areas are thoroughly evaluated to ensure a stress-free work culture.

Bottom Line

The current scenario of state hospitals paints a dreadful outlook on employee-patient relationships which impede adequate healthcare. We strive to maintain and live up to standards aimed towards improving the situation at hospital through our diverse range of courses.

MABPRO Programs for Assault Prevention for the Healthcare Sector —

MABPRO Programs for Assault Prevention for the Healthcare Sector

Keywords: workplace, violence, healthcare, behavior health, security, assault, staff, training, de-escalation, aggression, negotiation, calming.

Workplace violence plays a significant part in healthcare facilities. America is currently facing an epidemic in patient assaults against staff in state hospitals that leads to serious concerns. A report by organization IHSSF (International Healthcare Security and Safety Foundation) finds that a staggering 60% of workplace assaults occur in hospitals.

This only seeks to show the gravity of the problems faced by healthcare employers and a rising demand for violence preventative solutions.

We at MABPRO offer MAB® certified courses to train staff and employers in combating patient assaults and how to install preventative measures and procedures at an administrative level.

MABPRO Programs: A Brief Note

Our programs are designed to meet the specific needs of healthcare employers and provide trainings to staff through various workshops and seminars. Our programs meet the following laws:

  • California AB 508
  • California AB 1083
  • California AB 30
  • California SB 1299

What is MAB?

MAB or Management in Assaultive Behavior or AB-508 is a certification aimed towards the healthcare sector designed to meet the knowledge and training gap in addressing and preventing workplace assaults.

The content of the certification program consists of equipping staff with a framework that allows them to identify the different warning signs of potential assaults and various tactics and de-escalation techniques geared towards mitigating high stress situations.

Courses Available

We offer courses both in standard as well as additional formats.


Employers are recommended to take the standard courses which can be customized to address employer specific concerns and hospital issues surrounding patient behavior health. These courses seek to empower staff in handling high stress situations and how to respond with the appropriate measures.

The programs involve a series of workshops for employees in this case hospital staff to equip them with the relevant framework for understanding and calming patient aggression that could result in work place assaults. This course seeks to maximize learning of handling stress and avoiding risk of assault without the need for physical intervention as part of our intervention free solutions through the use of de-escalation and negotiation techniques. We do provide staff the necessary physical methods of restraining and containing high risk situations including self-evading techniques but stress on using it only as a last resort.

The courses are of two types:

  1. 8 Hour Initial Provider MAB
  2. 4 Hour Re-certification MAB


We offer a wide variety of courses in our additional MAB set from suicide prevention or rape and abduction prevention training. Our specific course on healthcare scenario is the 4 Hour Dealing With Difficult Physicians Within the Healthcare Setting Training course.

In this course, we pay closer attention to managing stress levels of staff as a result of their interactions with doctors. It is not unusual to find workplace conflicts among employees and in this case a conflict arising among a doctor with his or her staff can contribute to a knock-on effect on others.

A disgruntled staff member would most likely show a negative body language to patients and be less mindful and empathizing towards others. This could elevate the triggers responsible for a workplace assault to take place and in this course we make sure that does not happen.

End Note

Our courses can be modified to suit the challenges of different hospitals. We provide assistance in helping employers map out problems contained in their current work environment and offer counseling in implementing the best practices to prevent violence.

How Staff Can Prevent and Handle Patient Abuse and Violence — April 29, 2015

How Staff Can Prevent and Handle Patient Abuse and Violence

Understanding the Causes and Solutions

Knowing the reasons of patient violence in hospitals in America and the ways of countering the situations are an integral part of maintaining a healthy hospital atmosphere. Employers of state hospitals often find victims to workplace patient assaults towards their staff members which take a toll on their labor and security costs and the days lost at work due to staff injuries.

Employers thus require urgent attention and assistance in helping them understand some of the main causes and how they can address the situation. In this article, we provide you a guide on how you can prevent violence and abuse in your workplace and maintain safety for both patients and staff.

Understanding the Causes

Effects of Alcohol

Patients are likely to express violent behavior if they are under the effects of alcohol or drugs. Drugs are often provided to patients in the form of antidepressants or for treating cancer and can be one of the factors.

Head Injuries

Patients who have taken recent injuries to the head could experience tremors. Post-traumatic tremors involve uncontrollable shaking which can result in perceived violent behavior by patients.

Death of a Close Family Member or Friend

The loss of a family member can trigger excess sadness and grief that can accumulate to lead to despair and violence. The despair is unleashed on hospital staff.

Unprofessional Staff Services

Inappropriate staff behavior directed towards patients can also contribute to high stress and aggression among patients which could in turn lead to violence. Staff who have not received training in the art of de-escalation can also fall victim to patient abuse.

Poor Workplace Conditions

An unsafe and poor workplace environment that consists of poor lighting, improper ventilation and air-conditioning are create optimal conditions for patient aggression and violent behavior.

Strategies for Staff

Be Mindful Of Warning Signs

One of the first things in avoiding patient assault is to be aware of the different warning signs prior to the assault. These warning signs could vary but mainly include the patient raising his or her voice, abusive language, threats, threatening body gestures and the patient holding a weapon.

Knowing these different warning signs can help staff plan their next move with a lot more confidence and promptness which can either involve alerting security or using calm and compassionate body language and words.

Approach Patients With Cordially and With Compassion

Whether the staff member is in the middle of a highly uncomfortable situation with a patient or not, managing patients with the utmost compassion and care goes a long way in preventing the conditions for a violent assault from patients. It is crucial to empathize and use language that demonstrates care and understanding such as ‘we understand how you feel’ or ‘I know you are feeling a lot of pain’ can help the patient feel at ease instead of agitating his or her frustrations.

Employers are required to provide high level professional staff training to meet such requirements.

Respond To Conflicts Astutely

Lastly, employees need to learn de-escalation techniques to calm the situation and not respond with the same aggressive tone to the patient. Doing so would only put the employee and others at risk.

Moreover, standard operating procedures should be implemented and made known to staff in alerting the security, turning on the alarm or panic button or escaping from emergency exits should a patient resort to extreme violence.

This will help to minimize potential risks and casualties

Prevention of Attacks from Patients to Hospital Staff —

Prevention of Attacks from Patients to Hospital Staff

Keywords: patient, staff, state hospitals, assault, hospital, healthcare, security, training, violence, de-escalation, workplace

The disturbing video of 68 year old patient, Charles Logan, who unleashed a rampage of attacks on nurses with a bar in St. John’s Hospital in Maplewood, Minn in November last year sent an alarming message across America over the gravity of violence occurring in state hospitals. Assaults on hospital employees by patients are a frequent recurrence and poses a serious threat to the functioning of state hospitals in America.

The International Healthcare Security and Safety Foundation reports a disturbing statistic which highlights that the healthcare workplaces account for up to 60% of workplace attacks. Due to these harrowing findings, we at MABPRO recommend employers an overview of our certain steps aimed towards preventing workplace assaults.

1.     Conduct a Workplace Analysis

The first step in preventing workplace assaults is to conduct a workplace analysis in order to identify the current workplace conditions, scenarios, environment that is conducive to workplace violence. The aim is to scrutinize the root causes and trends of violent behavior in relation to previous incidents and map out ways to address it.

A solution to a problem such as this first requires understanding the gravity and depth of the problem. This would consist of the following:
Different levels of assessments should be undertaken using a team of senior management, employee supervisors, and security and operations representatives to learn the impact of the current workplace hazards. This could include the following set of activities:

  • Scan through records of patients’ illnesses and monitor work routines, practices
  • Conduct employee surveys to obtain information on the day to day risks of violence patient behavior
  • Evaluate current work conditions and whether they contribute to workplace assaults

After a thorough analysis and research is conducted and the results evaluated, employers are then required to put into effect certain solutions.

2.     Assault Prevention and Management

The second part of the program should revolve around designing a set of procedures at an administrative and human resource level that will contribute to a safer work place culture.

It would require installing a series of control and security systems that employees can access to signal a potential risk of violent behavior. These could include alarm systems, metal detectors, CCTV camera installations, bullet and shatter proof windows and panic buttons. These control would act as a means to request a security team to intervene and prevent any possibility of an assault and restrict the patient should the need arise.

In addition to security controls, it would also involve implementing a series of training services to help staff understand the best practices for handling patient behavior, the warning signs and de-escalation tactics include self-defense workshops. They could further be instructed when to report a potential incident and how best to do so.

Furthermore, it would also include ensuring that the work conditions are optimal to foster a stress-free environment such as proper lighting, air-conditioning and beds.

This could be summed up as the following:

  • Provide engineering controls that aid in alerting violent incidents
  • Provide effective staff de-escalation and self-defense training
  • Implement best practices related to employee behavior and routines towards patients

Bottom Line

Creating a workplace culture that minimizes the threat of patient assault requires an effective two part program that requires an accurate evaluation of current work place conditions and a thorough set of effective solutions at administrative and staff level.

5 Ways to Ensure Patient Safety in Hospitals —

5 Ways to Ensure Patient Safety in Hospitals

The absence of proper medical care that lead to the deaths of thousands of patients admitted in US hospitals every year presents an alarming statistic on the inefficiencies of hospitals in the US. A past study conducted by the Journal of Patient Safety in the years between 2008 and 2011 highlight the disturbing trend of a minimum of more than 200,000 and up to nearly 450,000 patient deaths.

This finding has put improper medical care as the third biggest contributor for deaths in US and places hospitals in great pressure in ensuring best practices and quality management to ensure such preventable deaths do not occur.

Here are five ways employers can utilize to ensure patient safety in hospitals.

Cultivate a Culture That Ensures Patient Safety

One of the first steps in ensuring patient safety in the workplace is to create a culture centered on being transparent and open to patients. This means that a staff are inculcated with a culture that demands being safety conscious and always internalizing and evaluating the risks and taking precautions of their healthcare activities.

Just like a company pursues changing the norms and practices of its workforce to influence a particular culture, the same is true for hospital management. Therefore senior management should implement various activities to ensure there is a culture of shared information between patients, managers, and staff and conducting various assessments to analyze what working patterns or activities contribute to various hazards.

Build Strong Staff-Patient Relationships

Building strong relationships with patients involve having effective two-sided communication and taking responsibility when things go wrong. Any case of accidents on the part of staff should be investigated and discussed with the patient and his or her families. A formal apology for instance can contribute in making amends and facilitate better healthcare learning.

Build Effective Staff Leadership

Another crucial step is to provide strong leadership that ensures that employees are motivated and accountable for their actions whilst at the same time sufficient space is given to them to respond with frankness why they feel certain activities or job responsibilities are ineffectual and possible causes of patient mishandling.

Another way of establishing this pillar is to appoint a specific manager responsible for overseeing safety and risks and have a reporting and evaluation mechanism. This will help to supplement a more conscious attitude for ensuring safety and preventing any accidents. Appointing a manager can also serve staff training purposes.

Incorporate Processes to Manage Risk

This involves evaluating the procedures and mechanisms that pave the way for creating high risk situations and replacing them with best practices. This could involve taking a particular look at the hierarchical structure and whether staff overloading or the lack of it is leading to work inefficiencies.

It could also consist of consulting with risk-experts who can help you identify what conditions or systems currently in place are wreaking havoc for the hospital and for the patient especially.

Gather Data in Pinpointing Hazards

A critical aspect in developing a patient safety culture is to implement rigorous methods for collecting accurate data and implement critical analysis to facilitate understanding of what went wrong and how not to repeat it in the future. Some of these data collecting methods could involve conducting wide-scale interviews of doctors or other staff consisting of a series of questions aimed to get at the root cause of unexpected deaths or accidents.

Alternatively, a risk and safety team could be developed to conduct site visits and assess the conditions of the ward and what equipments contributed to the deaths of patients.

End Note

Developing a culture that promises safety to patients requires an in-depth assessment the physical as well as non-physical factors and consists of a series of best practices, routines and systems put in place to ensure patients are given care professionally.